Thrombolysis for acute ischemic stroke in the primary antiphospholipid syndrome

Successful intravenous thrombolytic treatment for acute major ischemic stroke was given to a 24-year-old woman with primary antiphospholipid syndrome. Our patient was a smoker and used oral contraceptives containing estrogen at the time of the stroke. We discuss risk factors for stroke and the treatment of arterial thrombosis in patients with antiphospholipid antibodies.