Melo T P, Bogousslavsky J, Regli F, Janzer R
Department of Neurology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
Eur Neurol. 1993;33(1):9-12. doi: 10.1159/000116890.
We report a patient with recurrent cardioembolism and hemorrhagic infarcts, who developed a fatal intracerebral hemorrhage 3 days after intravenous anticoagulation. At autopsy, cerebral amyloid angiopathy (CAA) was found. Because CAA and anticoagulation may add up to trigger cerebral hemorrhage, the possibility of underlying CAA should be raised before anticoagulating elderly patients with stroke.
我们报告了一名患有复发性心源性栓塞和出血性梗死的患者，该患者在静脉抗凝治疗3天后发生致命性脑出血。尸检时发现了脑淀粉样血管病（CAA）。由于CAA和抗凝作用可能共同作用引发脑出血，因此在对老年卒中患者进行抗凝治疗前，应提高对潜在CAA的警惕。
