Heparin for Vertebral Intraluminal Thrombus Causing Retroperitoneal Hemorrhage from Occult Renal Angiomyolipoma

Billie Hsieh, Muhammad B. Tariq, Lamya Ibrahim, Shekhar D. Khanpara, Larry A. Kramer, Sean I. Savitz

Research output: Contribution to journalArticlepeer-review

Abstract

Stroke is a common cause of mortality and serious long-term disability worldwide. In the acute setting, current American Heart Association/American Stroke Association guidelines do not recommend routine anticoagulation for the management of acute ischemic strokes. However, short-term use of unfractionated heparin (UFH) in select subpopulations has demonstrated improved outcomes. While tools such as CHADSVASC and HASBLED scores are useful in stratifying risk of long-term anticoagulation in patients with nonvalvular atrial fibrillation and additional risk factors, the carefully selected patient populations for the design of these studies do not account for risk of hemorrhage from other preexisting conditions. Here, we present a patient with a posterior circulation intraluminal thrombus treated with UFH, who manifested with a near-fatal intra-abdominal hemorrhage from a previously undetected renal angiomyolipoma (AML).

Original languageEnglish
Pages (from-to)388-393
Number of pages6
JournalCase Reports in Neurology
Volume13
Issue number2
DOIs
Publication statusPublished - 14 Jun 2021
Externally publishedYes

Keywords

  • Arrhythmias
  • Atrial fibrillation
  • Atrial fibrillation arrhythmia
  • Blood pressure
  • Hemorrhage
  • Heparin
  • Imaging
  • Ischemic
  • Ischemic stroke
  • Stroke
  • Tumor subject terms

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