PT  - JOURNAL ARTICLE
AU  - Maalouf, Nancy N.
AU  - Hinduja, Archana
AU  - Shihabuddin, Bashir S.
TI  - Primary antiphospholipid syndrome manifesting as partial status epilepticus
DP  - 2013 Apr 01
TA  - Neurosciences Journal
PG  - 160--162
VI  - 18
IP  - 2
4099  - http://nsj.org.sa/content/18/2/160.short
4100  - http://nsj.org.sa/content/18/2/160.full
SO  - Neurosciences (Riyadh)2013 Apr 01; 18
AB  - Primary antiphospholipid syndrome (APS) is an autoimmune disease defined by vascular thrombosis, pregnancy complications, and persistent antiphospholipid antibodies. Neurological manifestations include stroke, seizures, and chorea among others. Seizures are often precipitated by an acute ischemic event, but occasionally, structural abnormalities are absent. We present a 61-year-old man who developed partial seizures that progressed into partial status epilepticus. His seizures were intractable and required aggressive treatment with multiple anti-epileptic medications. He was diagnosed with primary APS and treated with anticoagulation. Head imaging did not reveal any acute ischemic events. This case demonstrates that primary APS may present as a refractory status epilepticus unrelated to acute cerebral ischemia.