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Neurological Sciences

, Volume 40, Issue 1, pp 193–194 | Cite as

Stroke presenting with an isolated foot drop in a patient with antiphospholipid syndrome: an uncommon clinical entity

  • Göksel TanıgörEmail author
  • Gonca Karabulut
  • Neşe Çelebisoy
  • Cenk Eraslan
  • Figen Yargucu Zihni
Letter to the Editor
  • 70 Downloads

Dear editor,

Antiphospholipid syndrome (APS) is a disease characterized by hypercoagulable state and thrombotic events. Cerebrovascular disease is a common manifestation in APS and there are many different presentations of stroke.

We herein describe a patient with APS presenting with isolated foot drop associated with stroke, which is commonly attributed to peripheral etiologies like a peroneal nerve lesion.

Case

A 60-year-old woman was admitted to our clinic with right-sided foot drop that occurred 8 days ago. She had ascribed it to trauma where she fell down on her knee followed by dorsiflexion weakness of the right foot. The previous neurological history was unremarkable. She was hypertensive and diabetic with mild chronic renal failure. She had been admitted to a rheumatology clinic with joint pain in wrist and knees for approximately 20 years ago, was found positive for antiphospholipid antibodies, and was diagnosed as undifferentiated connective tissue disease with comorbid...

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Informed consent

Informed consent was obtained from patient before usage of information and material.

References

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    Cervera R, Piette JC, Font J, Khamashta MA, Shoenfeld Y, Camps MT et al (2002) Antiphospholipid syndrome: clinical and immunologic manifestations and patterns of disease expression in a cohort of 1,000 patients. Arthritis & Rheumatology 46(4):1019–1027CrossRefGoogle Scholar
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    Carecchio M, Cantello R, Comi C (2014) Revisiting the molecular mechanism of neurological manifestations in antiphospholipid syndrome: beyond vascular damage. J Immunol Res 2014Google Scholar
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    Kim K-W, Park J-S, Koh E-J, Lee J-M (2014) Cerebral infarction presenting with unilateral isolated foot drop. Journal of Korean Neurosurgical Society 56(3):254CrossRefGoogle Scholar
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Copyright information

© Springer-Verlag Italia S.r.l., part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Physical Medicine and RehabilitationEge University School of MedicineİzmirTurkey
  2. 2.Department of RheumatologyEge University School of MedicineİzmirTurkey
  3. 3.Department of NeurologyEge University School of MedicineİzmirTurkey
  4. 4.Department of RadiologyEge University School of MedicineİzmirTurkey

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