Stroke treatment with thrombophilia

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Stroke treatment with thrombophilia. Anticoagulation is indicated if there is associated deep vein thrombosis (DVT). Fully referenced neurology checklist.

Inherited thrombophilia

  • Anticoagulation is indicated if there is associated deep vein thrombosis (DVT)
  • Either antiplatelets or anticoagulants may be used if there is no DVT
  • Long-term anticoagulation is required if there are recurrent thrombotic events
  • Long-term anticoagulation is also indicated with spontaneous venous sinus thrombosis (VST)

Anti-phospholipid (APL) antibody syndrome

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References

  1. Stroke: Diagnosis and initial management of acute stroke and transient ischaemic attack (TIA). NICE Clinical Guideline [CG68]. July 2008.
  2. Management of patients with stroke or TIA: assessment, investigation, immediate management and secondary prevention. SIGN Guideline 108. December 2008.
  3. Furie KL, Kasner SE, Adams RJ, et al. Guidelines for the prevention of stroke in patients with stroke or transient ischemic attack: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2011; 42:227-276.

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