What is the recommended management approach in regard to diagnostic evaluation and treatment for patients with homocystinuria and cerebral thrombosis?
- Do we prophylactically place patients on anticoagulation after one episode?
- Besides MRI/MRV brain, are there other diagnostic imaging that should be obtained?
- Should family members of these patients be screened and also placed on treatment if found positive for any underlying genetic/metabolic disorder that potentially puts them at increased risk?
Answer from: at Community Practice
I think it’s reasonable to start anticoagulants for 3 to 6 months after getting complete blood test panels for hypercoagulation states. Be careful while interpreting abnormal hypercoagulation test results since many times you may see abnormalities. I would also repeat them within 3 months when...
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