Neuropathologic findings in a Guillain-Barré patient with strokes after IVIg therapy.

Byrne, N P; Henry, J C; Herrmann, D N; Abdelhalim, A N; Shrier, D A; Francis, C W; Powers, J M · Neurology · 2002

case_report · Level V

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Abstract

Strokes have been rarely associated with immunoglobulin G (IVIg) therapy. A 70-year-old woman with stable polycythemia vera developed Guillain-Barré syndrome and received IVIg, 8 days following which she became comatose due to bilaterally symmetric cerebral infarcts. Autopsy showed intravascular aggregates of fibrin-IgG but also platelets and a necrotizing microangiopathy in the infarcts.

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