Brain infarct due to non-bacterial thrombotic valvular vegetation associated with primary antiphospholipid antibodies. A case report.

Accession number;99A0326943
Title;Brain infarct due to non-bacterial thrombotic valvular vegetation associated with primary antiphospholipid antibodies. A case report.
Author; HINO HIROTAKE (Kumamoto City. Hosp.) HASHIMOTO YOICHIRO (Kumamoto City. Hosp.) HARA YASUYUKI (Kumamoto City. Hosp.) TERASAKI TADASHI (Kumamoto City. Hosp.) UCHINO MAKOTO (Kumamoto Univ., Med. Sch.)
Journal Title;Clinical Neurology
Journal Code:Z0689A
ISSN:0009-918X
VOL.38;NO.10/11;PAGE.931-935(1998)
Figure&Table&Reference;FIG.3, REF.21
Pub. Country;Japan
Language;Japanese
Abstract;A 50-year-old woman with antiphospholipid antibody syndrome(APAS) awoke in a morning to notice dizzniess, so she came to our hospital. Several hours later she developed left oculomotor paralysis. Further two hours later she developed right oculomotor paralysis and could not stand. Brain MRI showed high signal intensity lesion of paramedian thalamic and midbrain on the T2-weighted image. Cerebral angiography did not reveal any occlusion. Transesophageal echocardiography disclosed mitral valvular vegetation. We thought this valvular abnormality was non-bacterial thrombotic vegetation associated with APAS and this suggests that cerebral infaraction was due to emboli from this vegetation. (author abst.)
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