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CURRENT ISSUEINTERNATIONAL ANGIOLOGY

A Journal on Angiology

Official Journal of the International Union of Angiology, the International Union of Phlebology and the Central European Vascular Forum
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,899

Frequency: Bi-Monthly

ISSN 0392-9590

Online ISSN 1827-1839

 

International Angiology 2010 August;29(4):380-4

    Case reports

Acute carotid occlusion and stroke due to antiphospholipid antibody syndrome: case report and literature review

Marques M. A. 1, Murad F. F. 2, Ristow A. V. 2, Silveira P. R. M. 1, Pinto J. E. S. S. 2, Gress M. H. T. 2, Massière B. 2, Cury J. M. 2, Vescovi A. 2

1 Department of Angiology, CENTERVASC-RIO, Rio de Janeiro, Brazil
2 Department of Vascular Surgery, CENTERVASC-RIO, Rio de Janeiro, Brazil

Neurologic events associated to antiphospholipoid syndrome (APLS) are not uncommon, but ischemic stroke due to acute carotid thrombosis, is a rare presentation of this syndrome. We report a case of a 48 years old female patient, without evidence of atherothrombosis or other vascular pathology, who presented an ischemic stroke due to acute thrombosis of the left internal carotid artery. The occlusion was diagnosed by Duplex scan and magnetic resonance angiography (Ds+MRA). The patient was anticoagulated and experienced total regression of her neurologic symptoms after a week. Ds+MRA were performed again and confirmed re-establishment of normal flow of internal carotid artery. A thorough clinical investigation confirmed the diagnosis of APLS (the association of a major thombotic event and high anticardiolipoid IgG antibody titers in three blood samples). The patient has been submitted to oral anticoagulation for three years and has not experienced new neurologic or thrombotic events.

language: English


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