Brain pseudo tumor in the course of a primary anti phospholipidic syndrome. Case presentation

Abstract

The anti phospholipidic syndrome as cause of a multiple endothelial dysfunction is usually associated to many autoimmune diseases and, occasionally, precedes them many years. We present the case of a female patient, aged 36 years with healthy antecedents, who entered the hospital with convulsions associated to a right hemiparesis with central facial taking and left frontal parietal tomographic images that are compatible with a possible metastatic brain tumor. Looking for the primary lesion, several hematologic, ultrasonographic and radiologic studies were carried out, showing negative results. During her hospital staying, she had a left pleural effusion and a deep venous thrombosis in both lower limbs. After a 45-days staying in the hospital, and due to her recovery and all-symptoms regression, an evolution magnetic resonance was carried out, showing the total disappearance of the neurologic lesion; we arrived to the conclusion that it was a brain pseudo tumor in the course of a primary  anti phospholipidic syndrome.