Multiple Spinal Cord Infarction due to Primary Antiphospholi
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Spinal cord infarction (SCI) is quite rare and is usually presented with a sudden onset paralysis, sensory disturbances, lumbar pain and cystic disorders depending on the location of the infarct. A variety of causative factors has been described, but primary antiphospholipid syndrome only in a limited number of case reports. We discuss a case of a 49year old woman with acute right hemiparesis and sensory disturbances below C7 level. T2 weighted sequence MRI showed multiple small hyper intense lesions in the right lateral spinal cord from C6 to C7 and in the poster lateral spinal cord in T1/T2 level consistent with ischemia. The laboratory work-up returned the diagnosis of primary Antiphospholipid syndrome with positive lupus anticoagulant antibodies. This is a case of primary Antiphospholipid syndrome first manifested with multiple ischemic lesions of the spinal cord.

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