title: Ictus and antiphospholipid syndrome: how much is enough?
abstract: Herein we report the case of a patient with antiphospholipid Syndrome (APS) and an ischemic stroke suffered while he was anticoagulated, and we discuss the usefulness of magnetic resonance angiography in the early diagnosis of such a complication. We also attempt to emphasize the great value of an individual risk evaluation when warfarin therapy is introduced. In fact, our case supports the importance of high-intensity anticoagulation in patients with multiple thrombotic recurrences, and the exceptional value that strict anticoagulation control has in this kind of patients.
authors.affiliation: Servicio de Medicina Interna, Hospital Universitario La Paz, P de la Castellana, 261-28046 Madrid, Spain. elena.rodriguez.c@gmail.com
authors.forename: Elena
authors.initials: E
authors.lastname: Rodríguez-Castellano
authors.forename: Juan José
authors.initials: JJ
authors.lastname: Ríos-Blanco
authors.forename: Angel
authors.initials: A
authors.lastname: Robles-Marhuenda
authors.forename: Antonio
authors.initials: A
authors.lastname: Gil-Aguado
authors.forename: Clara
authors.initials: C
authors.lastname: Soto-Abánades
authors.forename: Ignacio
authors.initials: I
authors.lastname: Pérez-Valero
authors.forename: Arantxa
authors.initials: A
authors.lastname: Royo-Orejas
authors.forename: Juan José
authors.initials: JJ
authors.lastname: Vázquez-Rodríguez
mesh_terms: D017153:Antibodies, Anticardiolipin / Q000097:blood*; D000925:Anticoagulants / Q000008:administration & dosage* / Q000627:therapeutic use; D016736:Antiphospholipid Syndrome / Q000150:complications* / Q000188:drug therapy; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D020521:Stroke / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control; D014859:Warfarin / Q000008:administration & dosage* / Q000627:therapeutic use
chemical_list: D017153:Antibodies, Anticardiolipin; D000925:Anticoagulants; D014859:Warfarin