Primary antiphospholipid antibody syndrome and cerebral ischemia: report on acute intervention in two cases and literature review with emphasis on therapeutic options
- PMID: 8310211
- DOI: 10.1007/BF00301266
Primary antiphospholipid antibody syndrome and cerebral ischemia: report on acute intervention in two cases and literature review with emphasis on therapeutic options
Abstract
In two patients with primary antiphospholipid antibody syndrome and acute cerebrovascular ischemic events, local intraarterial fibrinolysis and intravenous heparin therapy, respectively, resulted in a limitation of persisting neurological deficits. On the basis of the 35 case reports available a combination of anticoagulation with warfarin, plus immunosuppression with steroids and/or cyclophosphamide or azathioprine, appears to be the best treatment to prevent further cerebral ischemic events. The therapeutic options are reviewed and discussed.
Similar articles
-
Anticoagulation strategies for treatment of ischemic stroke and antiphospholipid syndrome: case report and review of the literature.Pharmacotherapy. 2006 Oct;26(10):1518-25. doi: 10.1592/phco.26.10.1518. Pharmacotherapy. 2006. PMID: 16999662 Review.
-
Combined plasmapheresis and immunosuppression as rescue treatment of a patient with catastrophic antiphospholipid syndrome occurring despite anticoagulation: a case report.Blood Coagul Fibrinolysis. 2003 Jun;14(4):395-9. doi: 10.1097/00001721-200306000-00011. Blood Coagul Fibrinolysis. 2003. PMID: 12945882
-
[Ischemic encephalopathy in primary antiphospholipid syndrome].Rev Neurol (Paris). 1993;149(5):336-9. Rev Neurol (Paris). 1993. PMID: 8272729 French.
-
Primary antiphospholipid syndrome presenting with cerebral ischemia, thrombocytopenia, anemia and proteinuria successfully treated with warfarin potassium.Intern Med. 2000 Sep;39(9):748-53. doi: 10.2169/internalmedicine.39.748. Intern Med. 2000. PMID: 10969908
-
Bridging therapy in antiphospholipid syndrome and antiphospholipid antibodies carriers: case series and review of the literature.Autoimmun Rev. 2015 Jan;14(1):36-42. doi: 10.1016/j.autrev.2014.09.002. Epub 2014 Sep 18. Autoimmun Rev. 2015. PMID: 25242343 Review.
Cited by
-
The antiphospholipid-protein syndrome.J Clin Immunol. 1995 Nov;15(6 Suppl):86S-100S. doi: 10.1007/BF01540898. J Clin Immunol. 1995. PMID: 8613497 Review.