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Acta Neurológica Colombiana
Print version ISSN 0120-8748On-line version ISSN 2422-4022
Abstract
ROMERO HERNANDEZ, Camilo Andrés; MILLAN SUSPE, Luisa Fernanda and ORTIZ PEREIRA, Mónica. Cerebral microbleeds' transient focal neurological symptoms in congenital hypofibrinogenemia: a case report. Acta Neurol Colomb. [online]. 2024, vol.40, n.1, e7. Epub Apr 17, 2024. ISSN 0120-8748. https://doi.org/10.22379/anc.v40i1.859.
Introduction:
Intracranial hemorrhagic disease can present with transient focal neurological symptoms. Congenital fibrinogen diseases are unusual and can rarely manifest in this way. Below we present a case of cerebral microbleeds due to congenital hypofibrinogenemia with transient focal neurological symptoms.
Case presentation:
This is a 29-year-old man with cerebral microbleeds due to congenital hypofibrino-genemia with transient focal neurological symptoms.
Discussion:
Cerebral microbleed and intracerebral hemorrhage is a cause of transient focal neurological symptoms. The prevalence of cerebral microbleeds in the elderly population is a highly recognized problem. However, the incidence of these microbleeds in younger people is low and unknown. Blood dyscrasias, such as inherited fibrinogen disorder, are a cause of inherited abnormalities of blood clotting. Fibrinogen has an important role in the control of bleeding due to platelet aggregation and is part of the coagulation cascade. The absence of normal fibrinogen induces alteration in platelet and coagolation hemostasis and, therefore, causes hemorrhagic complications.
Conclusions:
Transient focal neurological symptoms may be caused by small vessel hemorrhagic cere-brovascular disease. Congenital blood dyscrasias are a rare cause of this type of cerebrovascular disease.
Keywords : Stroke; Afibrinogenemia; Cerebral amyloid angiopathy; Rare disease; Fibrinogen; Brain hemorrhage; Microhemorrhages; Signs and symptoms; Coagulation blood disorders.