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Unusual Causes of Stroke - Hypercoagulable States and their work-up

Unusual Causes of Stroke - Hypercoagulable States and their work-up

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Catastrophic Antiphospholipid<br />

(Asherton’s) Syndrome<br />

• ~1% <strong>of</strong> cases<br />

• Widespread microvascular thromboses in<br />

the presence <strong>of</strong> antiphospholipid antibodies<br />

• High rate <strong>of</strong> mortality: 30 30-50% 50%<br />

• Considered an indication for<br />

immunos<strong>up</strong>pression<br />

– However, no good controlled trials<br />

– No proven immunos<strong>up</strong>pressive regimen

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