Stroke, Vol 22, 750-753, Copyright © 1991 by American Heart Association
J Montalban, A Codina, J Ordi, M Vilardell, MA Khamashta and GR Hughes
In a 2-year prospective study of 146 patients with cerebral ischemia, we
compared vascular risk factors for stroke with clinical and laboratory
findings, particularly antiphospholipid antibodies. Ten patients (6.8%)
were positive for at least one antiphospholipid antibody; one patient had
systemic lupus erythematosus, one had rheumatoid arthritis, and the
remaining eight fulfilled criteria for the diagnosis of primary
antiphospholipid syndrome. These patients were predominantly male, not
necessarily young, and 50% of them did not have any other vascular risk
factors; there were no significant clinical or paraclinical differences
between these patients and those without antiphospholipid antibodies.
Outcome in the 10 patients was good, and platelet antiaggregating drugs
proved to be useful in preventing further cerebrovascular ischemic events
in our patients.
ARTICLES
Antiphospholipid antibodies in cerebral ischemia
Servei de Neurologia, Hospital General Vall d'Hebron, Barcelona, Spain.
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