Ghasem Farahmand1, Nina Javadian1, Hanna Magrouni1, Rozita Amiri1 and Mojdeh Ghabaee2*
1Neurologist, Iranian Center of Neurological Research, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran
2Professor of Neurology, Sabbatical in Stroke, Iranian Center of Neurological Research, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran
*Corresponding Author: Mojdeh Ghabaee, Professor of Neurology, Sabbatical in Stroke, Iranian Center of Neurological Research, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.
Received: December 15, 2022; Published: March 07, 2023
This is report of 27 years old lady admitted with acute onset aphasia, right sided hemiparesis and facial paresis without of previous history of Cardiac or other atherosclerotic risk factors, abortions, rheumatologic disorder, thrombotic events. Ischemic in right MCA territory and right frontal lobe signal change in favor of cortical subarachnoid hemorrhage were the findings in MRI.
Positive Antiphospholipid antibody associated with mitral valve vegetation, suggestive of Nonbacterial thrombotic endocarditis (NBTE) in Trans-Esophageal Echocardiogram (TEE) were the positive finding in evaluation. So with diagnosis of NBE in the setting of antiphosholipid antibody, anticoagulant therapy was started. Screening for Malignancy were negative.
NBTE also known as Libman-Sacks Endocarditis, Marantic Endocarditis, is a rare condition according to autopsy series ranging from 0.9 to 1.6 percent. It has been reported in every age group, most commonly affecting patients between the fourth and eighth decades of life with no sex predilection. Mucus secreting malignancy, systemic lupus erythematosus and APS syndrome are the common etiologies.
Keywords: Juvenile Stroke; Antiphospholipid Syndrome; Libman-Sacks Endocarditis; NBTE
Citation: Mojdeh Ghabaee., et al. “Primary Antiphospholipid Syndrome: A Case Report of Embolic Ischemic Stroke and Cortical SAH due to Libman-Sacks Endocarditis". Acta Scientific Neurology 6.4 (2023): 13-15.
Copyright: © 2023 Mojdeh Ghabaee., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.