Stroke Research Today is a free monthly online journal that collates and summarizes the latest research about Stroke, including details on treatment, recovery, rehabilitation, signs, symptoms.

Ictus and antiphospholipid syndrome: how much is enough?

Rodríguez-Castellano E, Ríos-Blanco JJ, Robles-Marhuenda A, Gil-Aguado A, Soto-Abánades C, Pérez-Valero I, Royo-Orejas A, Vázquez-Rodríguez JJ

Servicio de Medicina Interna, Hospital Universitario La Paz, P de la Castellana, 261-28046 Madrid, Spain. elena.rodriguez.c@gmail.com

Herein we report the case of a patient with antiphospholipid Syndrome (APS) and an ischemic stroke suffered while he was anticoagulated, and we discuss the usefulness of magnetic resonance angiography in the early diagnosis of such a complication. We also attempt to emphasize the great value of an individual risk evaluation when warfarin therapy is introduced. In fact, our case supports the importance of high-intensity anticoagulation in patients with multiple thrombotic recurrences, and the exceptional value that strict anticoagulation control has in this kind of patients.

Published 7 March 2008 in Autoimmunity, 41(2): 140-2.
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