Peri-operative brainstem infarct in a patient with antiphospholipid antibody (APLA) syndrome

J. Roth, N. S. Margalit*, A. Kesler, A. Korn, Z. Ram

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Antiphospholipid antibody (APLA) syndrome is a major risk factor for arterial and venous thrombosis. Surgical risks in patients known to suffer from APLA syndrome are usually related to haemorrhage or to thrombo-embolic events, such as deep venous thrombosis and pulmonary emboli. The rare published reports of patients with APLA syndrome undergoing neurosurgical procedures relate to haemostatic complication, with none alerting to the peri-operative risk of stroke in these patients. We present a case of a peri-operative stroke in a patient undergoing resection of a foramen magnum meningioma. We discuss the association of peri-operative stroke and APLA syndrome and emphasize the high risk it imposes for neurosurgical procedures in these patients. In addition, we suggest an anticoagulation treatment algorithm for APLA syndrome patients undergoing craniotomies.

Original languageEnglish
Pages (from-to)1111-1114
Number of pages4
JournalActa Neurochirurgica
Volume148
Issue number10
DOIs
StatePublished - Oct 2006

Keywords

  • APLA syndrome
  • Infarct
  • Neurosurgery

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