Two young stroke patients associated with regular intravenous immunoglobulin (IVIg) therapy

Yumiko Nakano, Takeshi Hayashi, Kentaro Deguchi, Kota Sato, Nozomi Hishikawa, Toru Yamashita, Yasuyuki Ohta, Yoshiki Takao, Tomohiro Morio, Koji Abe

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

We recently experienced 2 young adult patients who developed ischemic stroke after regular intravenous immunoglobulin (IVIg) therapy for agammaglobulinemia with diagnosis of common variable immunodeficiency (CVID) in their childhood. Patient 1 was 26-year-old woman, who developed Wallenberg's syndrome 6 days after the last IVIg therapy, but had no further stroke recurrence with cilostazol later. Patient 2 was 37-year-old man, who developed recurrent cerebral infarction in the territory of bilateral lenticulostriate branches like branch atheromatous disease (BAD) several days after the IVIg therapy. However, he had no further stroke recurrence after bone marrow transplantation (BMT) therapy for his lymphoproliferative disorder. It was suggested that IVIg therapy was associated to these different types of ischemic stroke in our 2 young adult patients with minimal vascular risk factors. Although IVIg therapy is widely used as a relatively safe medication for immunodeficiency disorders or autoimmune diseases, we need to pay more attention to stroke occurrence with regular IVIg therapy.

Original languageEnglish
Pages (from-to)9-12
Number of pages4
JournalJournal of the neurological sciences
Volume361
DOIs
Publication statusPublished - Feb 15 2016

Keywords

  • Agammaglobulinemia
  • Intravenous immunoglobulin
  • Stroke
  • Thrombotic complication

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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