Altered consciousness, hemiparesis, ocular motility abnormalities were, however, seen in these patients as in ours. Thrombosis could not be demonstrated at the time MRA was done. Also, ACLA assay was not repeated as required by these criteria. ACLA level was very high in the index case. No sudden increase of ACLA level preceded thrombotic episodes.
Prolonged anticoagulation is mandatory in such patients.
Warfarin and aspirin have been tried. However, differences of opinion exist on the duration of therapy. Storke in this territory is almost always embolic in adults. SM reviewed literature and drafted the case report. RP was the resident taking care of the case and reviewed literature.