Work

Use of Anticoagulation for Secondary Stroke Prevention in Cerebral Cavernous Malformations: A Case Report

Year: 2025

Type: article

Abstract: The use of anticoagulation for secondary stroke prevention in patients with cerebral cavernous malformations remains a complex and challenging clinical scenario due to fear of hemorrhagic complications. Independent bleeding risks to take into account include patient age, infratentorial location, cerebral cavernous malformation size, and the association with a developmental venous anomaly. Multidisciplinary consultation involving input from neurology, neurosurgery, cardiology, and radiology is also often crucial to optimize patient outcomes in this setting. Here, we present a case of a 58-year-old woman with known cerebral cavernous malformations presenting with a posterior cerebral artery ischemic stroke secondary to atrial fibrillation to discuss the safety of anticoagulation for secondary stroke prevention in such cases.

Source: Cureus

DOI: 10.7759/cureus.78913

Authors: Lisle W Blackbourn, Melissa Kim, Nicholas J Comardelle, Deepak Reddy

Institution: Peoria campus of the University of Illinois System

Language: English

Topic: Vascular Malformations Diagnosis and Treatment

Subfield: Neurology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4407398189