Table 1.
Study | n | Type of event | Presentation | Radiological anatomy/vascular territory | Time from disease onset (day) | Anti-phospholipid antibody status | Coagulation parameters |
---|---|---|---|---|---|---|---|
Mao et al.[37] | 5 | 4 ischaemic strokes, 1 haemorrhagic stroke | Not described | Not described | 1–18 (median 9) | Not described | Not described |
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Helms et al.[41] | 3 | All ischaemic strokes | Incidental finding on MR imaging done for encephalopathy | Small hyperintensity lesions on MR imaging | Not described | Not described | Not described |
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Zhang et al.[24] | 3 | All ischaemic strokes | Aged 65–70 yr, headache and digital ischaemia | Multifocal infarcts including frontal, parietal, occipital lobes, basal ganglia, brainstem and cerebellum | 10, 18, 33 | Positive anticardiolipin IgA, anti-β2-glycoprotein-I IgA and IgG in all patients | Elevated PT, aPTT, D-dimer and reduced platelets |
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Oxley et al.[38] | 5 | All ischaemic strokes | Aged 33–49 yr, focal neurological deficits NIHSS score 13-23 | 1 internal carotid artery, 3 MCA, 1 posterior cerebral artery | Not described | Not described | Prolonged PT or aPTT in 3 patients, elevated D-dimer and fibrinogen in 3 patients |
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Beyrouti et al.[25] | 6 | All ischaemic strokes | Aged 53–85 yr, acute confusion with focal neurological deficits | 5 multifocal infracts, 2 patients developed ischaemic stroke despite therapeutic anticoagulation | −2 to 24 (median 12.5) | 5 patients with lupus anticoagulant, 1 patient with medium-titre IgM anticardiolipin | Prolonged PT or aPTT in 2 patients, elevated fibrinogen in 4 patients, elevated D-dimer in all patients |
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Avula et al.[39] | 4 | All ischaemic strokes | Aged 73–88 yr, focal neurological deficits, NIHSS score 2-36 | 2 MCA, 1 frontal lobe, 1 medial temporal lobe | 1–3 (median 2) | Not described | Prolonged PT or aPTT in 2 patients, elevated D-dimer in 2 patients |
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Gu et al.[74] | 1 | Ischaemic stroke | Aged 78 yr with right-sided weakness, NIHSS score 2. A physician involved in treatment contracted COVID-19 3 days later | CT brain unremarkable | −2 | Not described | Normal PT and aPTT |
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He et al.[40] | 1 | Ischaemic stroke with concurrent subarachnoid hemorrhage | Aged 70 yr with anisocoria | Not described | 28 | Not described | Severe thrombocytopenia and elevated D-dimer |
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Zhou et al.[42] | 1 | Ischaemic stroke | Aged 75 yr with bilateral deep vein thrombosis | Bilateral cerebral infarcts involving the middle and anterior cerebral artery on the right and anterior cerebral artery on the left | 15 | Not described | Normal coagulation profile, elevated D-dimer |
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Sharifi- Razavi et al.[73] | 1 | Haemorrhagic stroke | Aged 75 yr, drowsiness and extensor plantars | Massive intracerebral haemorrhage in the right hemisphere, accompanied by intraventricular and subarachnoid haemorrhage | 3 | Not described | Prolonged aPTT, normal platelet count |
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Hughes et al.[44] | 1 | Cerebral venous sinus thrombosis | Aged 59 yr with headache and weakness | Cerebral venous sinus thrombosis | Not described | Not described | Not described |
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Garaci et al.[43] | 1 | Cerebral venous sinus thrombosis | Aged 44 yr with drowsiness, aphasia and hemiparesis with concurrent pulmonary embolism | Empty delta sign in the vein of Galen, straight sinus and in the torcular herophili due to dural sinus thrombosis with poor representation of left internal cerebral vein | 14 | Absence of anticardiolipin and anti-β2 glycoprotein IgM and IgG | Severe thrombocytopenia and elevated D-dimer |
aPTT: activated partial thromboplastin time, CT: computed tomography, IgA: immunoglobulin A, IgG: immunoglobulin G, IgM: immunoglobulin M, MCA: middle cerebral artery, MR: magnetic resonance, NIHSS: National Institutes of Health Stroke Scale, PT: prothrombin time