%0 Journal Article
%A Paniagua, Juan A
%A Bahamondes, Rodrigo
%A Cano-Sánchez, Antonio
%A Velasco, Francisco
%T Unexpected papilledema in a young male with Type 1 diabetes.
%D 2017
%@ 2050-0904
%U https://hdl.handle.net/10668/26641
%X In young patients with T1D, neurological manifestations of cerebral hypertension should suggest the possibility of a cerebral venous sinus thrombosis (CVST). In these patients an inherited prothrombotic risk factor, including factor V Leiden G1691A gene mutation, should be considered during an event of thrombosis. Improving the glycemic control is the first factor that should be controlled in a patient who carries a genetic prothrombotic risk factor. Anticoagulant treatment should be started as son as CVST has been diagnosed. Long-term antithrombotic treatment with tinzaparin 175 IU/kg/day, a low-molecular weight heparin (LMWH), could be reliable and well tolerated, although an indefinite special follow-up, including neurological controls, is advisable even in asymptomatic patients.
%K Cerebral venous sinus thrombosis
%K inherited thrombophilia
%K low‐molecular weight heparin treatment
%K papilledema
%K type 1 diabetes
%~