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Jeffrey S. Greenspoon, MD
Women's Hospital Los Angeles

JAMA. 1986;255(16):2164.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

The report of Drs Wiebers and Whisnant¹ indicates that cerebral infarction during pregnancy is indeed a rare event. When it does occur, a thorough evaluation is justified because a treatable cause is often found.^2,3 The single case of cerebral infarction identified in the Rochester (Minn) study was that of a 28-year-old woman whose six pregnancies ended in spontaneous abortion.

Recently, obstetricians have become aware of the association between the lupus anticoagulant and fetal wastage.^4-6 Patients with the lupus anticoagulant have been reported to experience a higher frequency of both arterial and venous thrombotic events.^7,8 A history of pregnancy loss and thrombotic events is typical for patients with the lupus anticoagulant. When this unusual combination of clinical misfortunes occurs, a test for the lupus anticoagulant should be included in the evaluation. Triplett et al⁹ have shown that the platelet neutralization procedure is more . . . [Full Text PDF of this Article]

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