<![CDATA[Recurrent ischemic stroke at a young age is a relatively rare condition but carries a high risk of long-term disability. This case report aimed to describe the clinical presentation, management, and outcomes of recurrent ischemic stroke in a young woman with non-adherence to secondary prevention. A case report approach was used to describe the patient's clinical condition, assessment, interventions, and outcomes during hospitalization. Clinical data were obtained from direct patient assessment, medical records, and observations throughout the five-day hospitalization. A 27-year-old woman with a third episode of recurrent ischemic stroke presented with left hemiparesis after discontinuing treatment and routine follow-up for seven months. Neurological examination revealed muscle strength of 3/5 in the left upper and lower extremities, with paresthesia and headache. Her blood pressure on admission was 146/105 mmHg. A head CT scan demonstrated an acute ischemic infarction in the right basal ganglia. The assessment identified non-adherence to secondary prevention as a contributing factor to stroke recurrence. Management focused on stabilizing the acute phase and providing comprehensive secondary prevention education to the patient and family. After five days of treatment, muscle strength improved from 3/5 to 4/5, headache decreased, blood pressure decreased to 130/86 mmHg, and active range of motion in the left extremities improved. The patient and family also demonstrated improved understanding of and commitment to secondary prevention following discharge. This case underscores the importance of structured education, family involvement, and discharge planning in supporting adherence to secondary prevention and reducing the risk of recurrent ischemic stroke. ]]>
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