Acute neurological events in a patient with secondary polycythaemia and arteriovenous malformations.
General internists and adult cardiologist are seeing adult congenital heart disease more frequently in their clinical practices. We report the case of a polycythaemic patient with the cerebral and pulmonary arteriovenous malformations (AVMs) who presents with a transient ischaemic attack (TIA). Treatment strategies such as antiplatelet drugs and vensection may at best be ineffective and at worst detrimental to the patient.
Gill
Daljeet Singh
DS
Ng
Chee-Keong
CK
Ng
Kheng-Siang
KS
D000208:Acute Disease; D000293:Adolescent; D001165:Arteriovenous Malformations / Q000150:complications*; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000150:complications; D002546:Ischemic Attack, Transient / Q000209:etiology*; D008297:Male; D011086:Polycythemia / Q000150:complications*; D011651:Pulmonary Artery / Q000002:abnormalities; D011667:Pulmonary Veins / Q000002:abnormalities