Kim JH, Choi CG, Choi SJ, Lee HK, Suh DC. Primary antiphospholipid antibody syndrome: neuroradiologic findings in 11 patients.
Korean J Radiol 2000;
1:5-10. [PMID:
11752922 PMCID:
PMC2718138 DOI:
10.3348/kjr.2000.1.1.5]
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Abstract
OBJECTIVE
To describe the neuroradiologic findings of primary antiphospholipid antibody syndrome (PAPS).
MATERIALS AND METHODS
During a recent two-year period, abnormally elevated antiphospholipid antibodies were detected in a total of 751 patients. In any cases in which risk factors for stroke were detected-hypertension, diabetes mellitus, hyperlipidemia, smoking, and the presence of SLE or other connective tissue diseases-PAPS was not diagnosed. Neuroradiologic studies were performed in 11 of 32 patients with PAPS. We retrospectively reviewed brain CT (n = 7), MR (n = 8), and cerebral angiography (n = 8) in 11 patients with special attention to the presence of brain parenchymal lesions and cerebral arterial or venous abnormalities.
RESULTS
CT or MR findings of PAPS included nonspecific multiple hyper-intensity foci in deep white matter on T2-weighted images (5/11), a large infarct in the territory of the middle cerebral artery (4/11), diffuse cortical atrophy (2/11), focal hemorrhage (2/11), and dural sinus thrombosis (1/11). Angiographic findings were normal (5/8) or reflected either occlusion of a large cerebral artery (2/8) or dural sinus thrombosis (1/8).
CONCLUSION
Neuroradiologic findings of PAPS are nonspecific but in young or middle-aged adults who show the above mentioned CT or MR findings, and in whom risk factors for stroke are not present, the condition should be suspected.
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