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From the Division of Neurology, Barrow Neurological Institute, St. Josephs Hospital and Medical Center, Phoenix, AZ.
Address correspondence and reprint requests to Dr. Sivakumar, Barrow Neurological Institute, Neuromuscular Research Center, 240 W. Thomas Rd., Phoenix, AZ 85013; e-mail: ksivakumar{at}chw.edu
IV immunoglobulin therapy can lead to vascular events through increased serum viscosity and possibly other mechanisms. The authors describe the successful use of tissue plasminogen activator in three of four patients who developed cerebral and peripheral arterial thrombosis after treatment with IV immunoglobulin.
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