A Dangerous Combination for Stroke in Young Patient: Assimilation of the Atlas and Anti &#946;2-Glycoprotein I Antibodies

José Gutiérrez; Lizbeth Sandoval; Cristina Rivera; Carlos Zamorano; Noé Santiago; Vicente Martínez

2009, Number 1

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Rev Med Inst Mex Seguro Soc 2009; 47 (1)

A Dangerous Combination for Stroke in Young Patient: Assimilation of the Atlas and Anti β2-Glycoprotein I Antibodies

Gutiérrez J, Sandoval L, Rivera C, Zamorano C, Santiago N, Martínez V

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Language: English
References: 34
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ABSTRACT

A 45 year old male was admitted to the hospital for unsteady gait and dizziness. The brain CT showed bilateral cerebellar ischemic stroke. The MRI corroborated the stroke in the cerebellum with a third acute ischemic stroke in the pons. The laboratory work up showed a positive anti β2-glycoprotein I antibodies. The cerebral angiogram showed the territories occluded and also a rare malformation of the cranium vertebral junction called assimilation of the atlas. We concluded that due to the turbulence created in the V3 segment of the vertebral artery surrounding the atlas, the presence of the anti β2-glycoprotein was the cause of the infarction in this patient.

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