Open AccessRapidly progressive intracranial artery stenosis in primary antiphospholipid syndrome
Author(s) -
Seifert Christian L.,
Kowarik Markus C.,
Thürmel Klaus,
Berthele Achim,
Prothmann Sascha,
Wunderlich Silke
Publication year - 2015
Publication title -
annals of clinical and translational neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.824
H-Index - 42
ISSN - 2328-9503
DOI - 10.1002/acn3.215
Subject(s) - medicine , stenosis , stroke (engine) , antiphospholipid syndrome , angioplasty , cardiology , surgery , thrombosis , mechanical engineering , engineering
Antiphospholipid antibody syndrome ( APS ) is usually a disease of young adults. In elderly stroke patients APS was not associated with progressive intracerebral stenosis in the past. Here, we report a 65‐year‐old patient who presented with recurrent ischemic strokes associated with progressive stenosis of the right middle cerebral artery. Antiphospholipid antibodies were detected and treatment with plasma exchange, tapered steroids, and anticoagulants was successful. This case demonstrates that APS should be considered also in elderly stroke patients. This is of particular relevance since APS confers a significant risk to angioplasty and stenting procedures which therefore should be avoided in APS .