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Massive Epistaxis from Internal Carotid Pseudoaneurysm during Acute Ischemic Stroke in a Patient with Nasopharyngeal Carcinoma.

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OBJECTIVE Carotid blowout syndrome due to rupture of internal carotid artery pseudoaneurysm in NPC patients with prior neck radiation is an uncommon but life-threatening complication. Concomitant carotid stenosis with ischemic stroke and carotid rupture from pseudoaneurysm is rare. METHODS A

Pituitary apoplexy presenting with epistaxis.

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A 42-year-old woman developed headache and epistaxis followed by fever, stiff neck, and loss of vision of the right eye. The diagnosis of simple epistaxis was changed to mucormycosis, then to bacterial meningitis and then to sphenoid sinusitis, before the correct diagnosis of pituitary apoplexy was

Recurrent pituitary apoplexy due to two successive neoplasms presenting with ocular paresis and epistaxis.

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A case of recurrent pituitary apoplexy is described in a 72-year-old man who initially presented with haemorrhage in a non-functioning pituitary adenoma. Five years later, he re-presented with a severe pituitary haemorrhage in an enlarging sellar mass invading both cavernous sinuses causing

Epistaxis and pituitary apoplexy due to ruptured internal carotid artery aneurysm embedded within pituitary adenoma.

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Epistaxis due to ruptured internal carotid artery (ICA) aneurysm embedded within a pituitary adenoma (PA) has seldom been reported in the literature. Here we want to elaborate the incidence, mechanisms, clinical manifestations, and treatment strategy for this condition. The first survived case of a

[Iatrogenic palatine necrosis by embolization of sphenopalatine arteries during management of a rebel epistaxis].

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BACKGROUND The treatment of epistaxis sometime requires an embolization. This may result in ischemic palate necrosis, oronasal communication and dental losses. The repair of these lesions is complex. METHODS A 53-year-old patient, suffering from high blood pressure and hypercholesterolemia,

Concentrations of dabigatran administered after acute ischemic stroke.

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The aim of this study was to evaluate the anticoagulation intensity of dabigatran for acute ischemic stroke patients and hemorrhagic/ischemic events after early initiation of dabigatran.

METHODS

Acute ischemic stroke/transient ischemic attack (TIA)

Stroke after prolonged air travel associated with a pulmonary arteriovenous malformation.

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Several reports describe a potential association between prolonged flights and stroke. However, causes of travel-related stroke due to paradoxal embolism other than patent foramen ovale have not been previously reported. We here describe the case of a 44-year-old woman who presented with an acute

Case Report of De novo cavernous carotid artery aneurysm following an acute stroke intervention for a carotid occlusion.

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and Importance: Arterial dissections are a common cause of stroke in young patients but may occur at any age. There is no previous reports of an intracranial carotid artery dissection that evolved spontaneously into both complications, i.e. stroke and pseudoaneurysm. To our knowledge

[Osler's disease--a risk factor for stroke].

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BACKGROUND Osler's disease is an inherited disease of blood vessels that causes haemorrhage from the nasal mucosa, gastrointestinal tract, lungs or the urinary tract. Patients may also have abnormal intracerebral vessels. METHODS A patient with Osler's disease and recurrent epistaxis suffered a

Efficacy of different doses of alteplase thrombolysis on acute ischemic stroke in patients.

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Atyplase is a kind of thrombolytic drug with strong fibrin specificity. It can promote the synthesis of fibrinolytic enzymes by combining fibrin and plasminogen in thrombus, and then dissolve thrombus. Ateplase intravenous thrombolysis is the only effective method for stroke treatment proved by

Trends in epistaxis embolization in the United States: a study of the Nationwide Inpatient Sample 2003-2010.

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OBJECTIVE Endovascular embolization has emerged as a viable adjunct and alternative to surgical ligation in selected cases of epistaxis refractory to nasal packing. A large administrative database was used to study outcomes, complications, and trends in utilization of surgical and endovascular

The use of enoxaparin in children with acute, nonhemorrhagic ischemic stroke.

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The use of low-molecular-weight heparin offers multiple advantages over unfractionated heparins in pediatric patients with acute ischemic stroke. The safety and efficacy of low-molecular-weight heparin have been demonstrated in adults, but less is known about their use in children. This study

Safety of combination aspirin and anticoagulation in acute ischemic stroke.

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OBJECTIVE To assess the risk of bleeding complications in patients treated with combination aspirin and heparin for cerebral ischemia. METHODS A retrospective, cohort study. METHODS A large urban teaching hospital. METHODS One hundred charts of stroke patients who had received anticoagulation with

Safety and efficacy of direct oral anticoagulants for venous thromboembolism and stroke prophylaxis in patients with hematologic malignancies.

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Low-molecular-weight heparins are currently the recommended antithrombotic therapy for treatment and prevention of malignancy-related venous thromboembolism. Currently, the evidence evaluating direct oral anticoagulants versus low-molecular-weight heparins or a vitamin K antagonist in

Antiphospholipid syndrome with catastrophic bleeding and recurrent ischemic strokes as initial presentation of systemic lupus erythematosus.

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Bleeding is a rare manifestation of lupus anticoagulant-antiphospholipid syndrome unless associated with coagulation factor deficiency, thrombocytopenia, or intrinsic vascular defect. The authors report the clinical and laboratory findings in a 16-year-old boy with potent lupus anticoagulant who

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