title: Ischaemic stroke in a 21-year-old with hereditary haemorrhagic telangiectasia.
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.
authors.affiliation: Department of Stroke Medicine, Brighton & Sussex University Hospitals, Brighton, UK.
authors.forename: Ingrid
authors.initials: I
authors.lastname: Kane
authors.affiliation: Department of Stroke Medicine, Brighton & Sussex University Hospitals, Brighton, UK.
authors.forename: Alexandra
authors.initials: A
authors.lastname: Pitt Ford
authors.affiliation: Department of Stroke Medicine, Brighton & Sussex University Hospitals, Brighton, UK.
authors.forename: Kirsty
authors.initials: K
authors.lastname: Lawton
authors.affiliation: Department of Stroke Medicine, Brighton & Sussex University Hospitals, Brighton, UK.
authors.forename: Marius
authors.initials: M
authors.lastname: Poitelea
authors.affiliation: Department of Stroke Medicine, Brighton & Sussex University Hospitals, Brighton, UK.
authors.forename: Nicola
authors.initials: N
authors.lastname: Gainsborough
mesh_terms: D000328:Adult; D001165:Arteriovenous Malformations; D004844:Epistaxis; D006801:Humans; D008297:Male; D011667:Pulmonary Veins; D020521:Stroke / Q000209:etiology*; D013683:Telangiectasia, Hereditary Hemorrhagic / Q000150:complications* / Q000175:diagnosis; D055815:Young Adult
keywords: STROKE; epistaxis; hereditary haemorrhagic telangiectasia; pulmonary arteriovenous malformations; thrombolysis