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Stroke, Vol 22, 933-937, Copyright © 1991 by American Heart Association

ARTICLES

Microangiopathy of the brain, retina, and ear: improvement without immunosuppressive therapy

DL Gordon, SS Hayreh and HP Adams Jr
Department of Neurology, University of Iowa College of Medicine, Iowa City 52242.

We describe a pregnant young woman with branch retinal arteriolar occlusions, encephalopathy, and hearing loss in whom we demonstrated a patent foramen ovale. She improved while receiving anticoagulants and no immunosuppressive therapy. The microangiopathic syndrome of retinopathy, encephalopathy, and deafness may be due to a disturbance of coagulation and/or microembolism.

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