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Ischaemic stroke in a 21-year-old with hereditary haemorrhagic telangiectasia

Ingrid Kane1, Alexandra Pitt Ford1, Kirsty Lawton1

  • 1Department of Stroke Medicine, Brighton & Sussex University Hospitals, Brighton, UK.

Practical Neurology
|June 24, 2016
PubMed

A 21-year-old man presented with an acute ischaemic stroke. He had a history of epistaxis and a family history of hereditary haemorrhagic telangiectasia. We gave thrombolysis after some deliberation, and he made a good neurological recovery. This case highlights the link between hereditary haemorrhagic telangiectasia and ischaemic stroke, the potential risks of thrombolysis in such patients and the need to consider pulmonary arteriovenous malformations in patients with stroke.

Keywords:
STROKEepistaxishereditary haemorrhagic telangiectasiapulmonary arteriovenous malformationsthrombolysis

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