A case of primary antiphospholipid antibody syndrome with intermittent cerebral venous sinus thrombosis manifested with recurrent epilepsy

Antiphospholipid syndrome (APS) is an acquired autoimmune clinical disorder characterized by persistently raised levels of anti-phospholipid antibodies and clinical feature of hypercoagulability (recurrent vascular thrombosis and pregnancy morbidities). Primary APS is idiopathic in nature though sec...

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Main Authors: Tanwar VS, Singh AA, Tank R, Saini A, Jatana S, Singh S
Format: Article
Language:English
Published: KIMS Foundation and Research Center 2022-06-01
Series:Journal of Medical and Scientific Research
Subjects:
Online Access:http://jmsronline.com/archive-article/Antiphospholipid-antibody-syndrome-cerebral-venous-sinus-thrombosis-epilepsy
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author Tanwar VS
Singh AA
Tank R
Saini A
Jatana S
Singh S
author_facet Tanwar VS
Singh AA
Tank R
Saini A
Jatana S
Singh S
author_sort Tanwar VS
collection DOAJ
description Antiphospholipid syndrome (APS) is an acquired autoimmune clinical disorder characterized by persistently raised levels of anti-phospholipid antibodies and clinical feature of hypercoagulability (recurrent vascular thrombosis and pregnancy morbidities). Primary APS is idiopathic in nature though secondary APS is associated with other connective tissue diseases like SLE. Here, we present an instance of primary APS with recurrent cerebral venous sinus thrombosis in a youthful unmarried female who clinically presented with generalized epilepsy. Level of anti-cardiolipin (aCL) and anti-beta 2 GP1 antibodies were found elevated on two occasions 12 weeks apart. The patient was treated with anticoagulation therapy along with anti-epileptic therapy and she responded well to the therapy. This case report highlights that clinicians should always suspect APS in female patients who had history of seizures and ischemic or thrombotic lesions on brain imaging, irrespective of presence of pregnancy comorbidities.
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spelling doaj.art-a82464ce96114868afc0c7f2798232392023-02-03T11:32:25ZengKIMS Foundation and Research CenterJournal of Medical and Scientific Research2321-13262394-112X2022-06-0110210510810.17727/JMSR.2022/10-20A case of primary antiphospholipid antibody syndrome with intermittent cerebral venous sinus thrombosis manifested with recurrent epilepsyTanwar VS0Singh AA1Tank R2Saini A3Jatana S4Singh S5Department of Medicine, Shaheed Hasan Khan Mewati Government Medical College, Nalhar-122107, India Department of Medicine, Shaheed Hasan Khan Mewati Government Medical College, Nalhar-122107, India Department of Medicine, Shaheed Hasan Khan Mewati Government Medical College, Nalhar-122107, India Department of Medicine, Shaheed Hasan Khan Mewati Government Medical College, Nalhar-122107, India Department of Medicine, Shaheed Hasan Khan Mewati Government Medical College, Nalhar-122107, India Department of Medicine, Shaheed Hasan Khan Mewati Government Medical College, Nalhar-122107, India Antiphospholipid syndrome (APS) is an acquired autoimmune clinical disorder characterized by persistently raised levels of anti-phospholipid antibodies and clinical feature of hypercoagulability (recurrent vascular thrombosis and pregnancy morbidities). Primary APS is idiopathic in nature though secondary APS is associated with other connective tissue diseases like SLE. Here, we present an instance of primary APS with recurrent cerebral venous sinus thrombosis in a youthful unmarried female who clinically presented with generalized epilepsy. Level of anti-cardiolipin (aCL) and anti-beta 2 GP1 antibodies were found elevated on two occasions 12 weeks apart. The patient was treated with anticoagulation therapy along with anti-epileptic therapy and she responded well to the therapy. This case report highlights that clinicians should always suspect APS in female patients who had history of seizures and ischemic or thrombotic lesions on brain imaging, irrespective of presence of pregnancy comorbidities. http://jmsronline.com/archive-article/Antiphospholipid-antibody-syndrome-cerebral-venous-sinus-thrombosis-epilepsyantiphospholipid syndromecerebral venoussinus thrombosisepilepsy
spellingShingle Tanwar VS
Singh AA
Tank R
Saini A
Jatana S
Singh S
A case of primary antiphospholipid antibody syndrome with intermittent cerebral venous sinus thrombosis manifested with recurrent epilepsy
Journal of Medical and Scientific Research
antiphospholipid syndrome
cerebral venous
sinus thrombosis
epilepsy
title A case of primary antiphospholipid antibody syndrome with intermittent cerebral venous sinus thrombosis manifested with recurrent epilepsy
title_full A case of primary antiphospholipid antibody syndrome with intermittent cerebral venous sinus thrombosis manifested with recurrent epilepsy
title_fullStr A case of primary antiphospholipid antibody syndrome with intermittent cerebral venous sinus thrombosis manifested with recurrent epilepsy
title_full_unstemmed A case of primary antiphospholipid antibody syndrome with intermittent cerebral venous sinus thrombosis manifested with recurrent epilepsy
title_short A case of primary antiphospholipid antibody syndrome with intermittent cerebral venous sinus thrombosis manifested with recurrent epilepsy
title_sort case of primary antiphospholipid antibody syndrome with intermittent cerebral venous sinus thrombosis manifested with recurrent epilepsy
topic antiphospholipid syndrome
cerebral venous
sinus thrombosis
epilepsy
url http://jmsronline.com/archive-article/Antiphospholipid-antibody-syndrome-cerebral-venous-sinus-thrombosis-epilepsy
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