[An hereditary hemorrhagic telangiectasia of late revealed by a cerebral venous thrombosis: A case report]. / Une télangiectasie hémorragique héréditaire révélée tardivement par une thrombose veineuse cérébraleâ¯: à propos d'un cas.
Rev Med Interne
; 41(9): 628-631, 2020 Sep.
Article
em Fr
| MEDLINE
| ID: mdl-32565074
ABSTRACT
INTRODUCTION:
Hereditary hemorrhagic telangiectasia (HHT) is an autosomal dominant disease characterized by the triad of nose bleeding, telangiectasia and familial heredity. CASE REPORT We report the case of a patient who had idiopathic venous cerebral thrombosis complicated by a cerebral infarction treated with warfarin. In the context of a psoas hematoma by warfarine overdose and immobilization, the patient had deep vein thrombosis of the left lower limb with pulmonary embolism revealing a pulmonary arteriovenous malformation. After a reexamination, the patient clinical phenotype of HHT was confirmed genetically. The patient was treated with rivaroxaban allowing clinical improvement and partial recanalization of all thrombosis after six months. Thrombotic overisk has already been studied in HHT patients but the use of anticoagulants is at higher risk in these patients. However this patient experienced no adverse event with rivaroxaban.CONCLUSION:
This is the first case described of cerebral venous thrombosis treated with rivaroxaban revealing an HHT.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Telangiectasia Hemorrágica Hereditária
/
Trombose Venosa
/
Trombose Intracraniana
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
Limite:
Humans
/
Male
/
Middle aged
Idioma:
Fr
Revista:
Rev Med Interne
Ano de publicação:
2020
Tipo de documento:
Article