She is has developed stroke at young age, there are specific cause to have stroke at this age in female- vasculitis, thrombophilias std. As echo is more or less normal, does not look cardio emboli c stroke. She need to consult a neurologist and rheumatologist Dr. As she is on anticoagulation her treatment need to me modified if plans pregnancy, accepting the slight risk of 're event as pregnancy is procoagulant condition predispose to clot makingcondition in vessels, more commonly brain and lower limbs and worse situation uterine artery involment also