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. 2018 May 7;2018:5872638. doi: 10.1155/2018/5872638

Table 2.

Reported cases of corticobasal syndrome associated with antiphospholipid syndrome.

Case Authors APS Age/sex Imaging studies Treatment Follow-up
(period)
1 Lees and Morris [5] primary 44/F MRI: multiple infarcts in the cerebral hemispheres and basal ganglia with prominent lesions in the right parietal lobe and head of the left caudate nucleus Warfarin and aspirin Moderate improvement
in apraxia
(3 years)

2 Martino et al. [6] primary 56/F MRI: extensive white matter changes, marked diffuse cerebral corticosubcortical atrophy, and several infarcts in both hemispheres involving multiple vascular territories, including the striatum bilaterally Aspirin and warfarin were separately tried Progressive deterioration
(2 years)

3 Lee et al. [7] primary 47/M MRI: only diffuse brain atrophy without evidence of cerebral infarction, and
dopamine transporter imaging studies using [18F] FP-CIT PET: normal
Warfarin No change
(6 months)

4 Our case secondary 53/F MRI: marked cortical atrophy, several small infarctions in the deep white matter, and mild white matter changes, no infarction nor atrophy in the striatum
99mTc-ECD SPECT: decreased cerebral blood flow in the bilateral central area extending into the frontal and parietal areas
Aspirin No significant change
(8 years)

APS, antiphospholipid syndrome; [18F] FP-CIT PET, positron emission tomography using 18F-fluorinated N-3-fluoropropyl-2-β-carboxymetholxy-3-β-(4-iodophenyl) nortropane; 99mTc-ECD SPECT, single photon emission tomography using technetium-99m-L, L-ethyl cysteinate dimer.