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

Pract Neurol. 2016 Oct;16(5):381-4. doi: 10.1136/practneurol-2015-001308. Epub 2016 Jun 22.

Abstract

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: STROKE; epistaxis; hereditary haemorrhagic telangiectasia; pulmonary arteriovenous malformations; thrombolysis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Arteriovenous Malformations
  • Epistaxis
  • Humans
  • Male
  • Pulmonary Veins
  • Stroke / etiology*
  • Telangiectasia, Hereditary Hemorrhagic / complications*
  • Telangiectasia, Hereditary Hemorrhagic / diagnosis
  • Young Adult