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The patient had also demonstrated livedo reticularis of both forearms around the time she presented the akinetic-rigid syndrome. There was no personal history of venous or arterial thrombosis or miscarriage.
The patient presented left side dominant akinetic-rigid syndrome and limb-kinetic apraxia over the 8-year follow-up period, both of which changed little in terms of severity.
A diagnosis of CBS was made in the present case based on clinical manifestations including left side dominant akinetic-rigid syndrome and limb-kinetic apraxia, both of which were insidious at onset [1].
Our case implies that the akinetic-rigid syndrome associated with APS may not necessarily indicate ischemic pathology of the basal ganglia and it may be due to cortical pathology.