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Extensive workup revealed APAS to be the aetiology of her stroke. Twenty-one\u2009months into her follow-up, she is doing well with a modified Rankin Score of 0. Our case suggests that rTPA followed by immunomodulators may be given safely in myasthaenic crisis patients who develop ischaemic stroke. We emphasise the importance of doing a comprehensive neurological evaluation in agitated patients in the critical care unit.<\/jats:p>","DOI":"10.1136\/bcr-2019-231239","type":"journal-article","created":{"date-parts":[[2019,8,29]],"date-time":"2019-08-29T07:38:48Z","timestamp":1567064328000},"page":"e231239","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Ischaemic stroke in a patient with myasthaenic crisis and antiphospholipid antibody syndrome"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8450-2021","authenticated-orcid":false,"given":"Jose Danilo B","family":"Diestro","sequence":"first","affiliation":[{"name":"Department of Neurosciences, College of Medicine and Philippine General Hospital, University of the Philippines Manila, Manila, Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Kristina 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