Introduction
Catastrophic antiphospholipid syndrome (CAPS) is a life-threatening disorder urgent for aggressive treatment, and its characterized systemic thromboses and coagulopathy prompt for a rapid diagnosis.
Case Report
A woman fell into unconsciousness two weeks after a stable course of massive cerebral ischemia was identified due to CAPS with Sjőgren syndrome. Her thrombocyte count and coagulation times were was normal at initial. A high blood anti-beta2-glycoprotein I antibody level was found. Plasmapheresis rapidly reversed her consciousness and coagulation function.
Conclusions
A normal hemostatic parameters should not exclude CAPS. A favorable prognosis depends on the rapidity of appropriate treatment.