Sunday, March 28, 2010

Sneddon's syndrome need for angiography

Faris et al.  Sneddon's syndrome without antiphospholipid antibodies:  a report of 26 cases with cerebral angiography (Rabat).  Neurology 2010 74:9:PO2:099.

Authors emphasize Sneddon's syndrome (stroke  plus livedo racemosa) is NOT identical to APL syndrome.  26 patients were studied retrospectively with a combination of focal motor deficits and dementia.  Imaging always showed infarcts with white matter involvement.  Angio showed a distal arteriopathy in 18 cases with pial networks in  cases.  Two had hematomas.  The authors suggested angiography to prevent the unwarranted and dangerous potential use of anticoagulation.

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