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Ischaemic stroke in a 21-year-old with hereditary haemorrhagic telangiectasia
  1. Ingrid Kane,
  2. Alexandra Pitt Ford,
  3. Kirsty Lawton,
  4. Marius Poitelea,
  5. Nicola Gainsborough
  1. Department of Stroke Medicine, Brighton & Sussex University Hospitals, Brighton, UK
  1. Correspondence to Dr Ingrid Kane, Department of Stroke Medicine, Nigel Porter Unit, Royal Sussex County Hospital, Eastern Road, Brighton BN2 5BE, UK; ingrid.kane{at};


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.

  • thrombolysis
  • hereditary haemorrhagic telangiectasia
  • epistaxis
  • pulmonary arteriovenous malformations

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