Basilar Artery Thrombosis in the Setting of Antiphospholipid Syndrome

Co-occurrence of basilar artery and cerebral venous sinus thrombosis in antiphospholipid antibody syndrome

“…[1] Literature review failed to reveal any report of co-occurrence of cerebral arterial and venous sinus thrombosis in a patient with APS, hence this report.…”

“…Classically described MRI findings are ring enhancing lesions on T1-weighted imaging, hypointensity of the rings on T2-weighted imaging, and low to high signal on DWI. [1] We were misled to the preoperative diagnosis of high-grade glioma in the present case because of absence of fever and other constitutional symptoms of infection and hyperintensity on T2-weighted imaging. Intraoperative frozen section is of paramount importance in such cases.…”

“…[3] Various theories regarding the spread to brain have been proposed: Hematogenous dissemination, spread through lymphatic vessels, contiguous spread from adjacent organs such as orbits/sinuses. [1] Clinical presentation is like that of any other space occupying lesion with a shorter duration of symptoms than tumor. Classically described MRI findings are ring enhancing lesions on T1-weighted imaging, hypointensity of the rings on T2-weighted imaging, and low to high signal on DWI.…”

Case Report: Four Early Recurrent Basilar Artery Occlusions Successfully Treated With Mechanical Thrombectomy and Subsequent Vertebral Artery Coil Occlusion

“…However, more recent data support an effective role of MT in BAO (2,3). Especially data on treatment strategies of recurrent BAO are scarce, with only few cases published (4)(5)(6)(7)(8). A case of four recurrent BAOs refractory to various medical treatment regimens has not yet been described in the literature.…”

Simultaneous Occurrence of Deep Vein Thrombosis and Carotid Artery Thrombosis in Antiphospholipid Antibody Syndrome

“…Antiphospholipid antibody syndrome (APS) is a prothrombotic condition characterized by the presence of these antibodies in patients with recurrent pregnancy morbidity and/or thromboembolic complications. [ 2 ] Some patients with aPLa develop multiorgan failure due to widespread thrombotic events, known as catastrophic APS. [ 3 ] The co-occurrence of cerebral arterial thrombosis and deep vein thrombosis of lower limb in a patient with APS has not been reported.…”