CASE REPORT  NON-COVID-19 SECTION Open access

Italian Journal of Emergency Medicine 2021 August;10(2):107-11

DOI: 10.23736/S2532-1285.21.00065-3

Copyright © 2021 THE AUTHORS

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language: English

Epistaxis and headache at the Emergency Department: case report from a neurological point of view

Filippo MANELLI ¹ ✉, Roberto FURLONI ², Stefano BONETTI ¹, Maria S. COTELLI ³, Marinella TURLA ³

¹ Emergency Unit, ASST Valcamonica, Esine, Brescia, Italy; ² Unit of Medicine, ASST Valcamonica, Esine, Brescia, Italy; ³ Unit of Neurology, ASST Valcamonica, Esine, Brescia, Italy

Hereditary hemorrhagic telangiectasia (HHT) is also known as Osler-Weber-Rendu disease Patients often have vascular malformations that involve their lungs, brain, spinal cord, and gastrointestinal tract as well, which are the main causes of morbidity in patients with HHT. The sequelae of visceral organ involvement include ischemic stroke, cerebral bacterial abscesses, intracranial hemorrhage, chronic hypoxia, dyspnea with exertion, pulmonary hypertension, high output heart failure, gastrointestinal bleeds and liver failure. We reported a case of HHT evaluated at our Emergency Department due to persistent epistaxis and headache, with special focus on neurological potential manifestations and neuroimaging pattern.

KEY WORDS: Telangiectasias; Telangiectasia, hereditary hemorrhagic; Epistaxis