I think sophisticated tests and even the right blood markers could find evidence of this.
I have tested positive for markers of antiphospholipid syndrome at times which is also known as “sticky blood syndrome” or coagulation abnormalities.
There is alot that still hasnt been explored as a group.
The influence of isotretinoin on brain metabolism has been directly investigated using PET FDG, a technique that maps regional differences in glucose uptake in the brain. Twenty-eight subjects with acne were imaged before and after four months treatment with 13- cis RA or antibiotics (13 with 13- cis RA, 15 with antibiotics). Patients were also assessed for depression using the Hamilton Depression Scale (Ham-D). This study revealed that four months of 13- cis RA treatment led a to significant reduction in brain metabolism in the orbitofrontal cortex (Fig. 3),174 a region that has been associated with depression
In the case of patients reported to the Norwegian Medicines Agency, single photon emission computed tomography (SPECT) of the brain was performed in 15 cases who reported lasting neurological symptoms. Altered brain function was seen in all cases involving altered or reduced frontal lobe blood flow.173 Ten of these patients were evaluated to have organic brain damage.
Stroke
Cerebral venous thromboembolism complication of isotretinoin
use: a case report
E. Okuyucu, I.M. Melek, S. Colakoglu, O. Demetgul, M. Guntel, T.
Duman. Neurology, Mustafa Kemal Unversitiy, Antakya, Turkey
Background: We report a 27-year-old woman with any risk factor for
thromboses who presented with right hemiparesis due to left transverse
venous sinus occlusion associated with isotretinoin use for acne.
Case presentation: A healthy 27-year-old woman ,with no significant past medical history, presented with sudden onset of headache,
vomiting , right hemiparesis and unconsciousness associated with
convulsions. She had a history of taking isotretinoin for acne for the
last 2 months. A magnetic resonance scan of her brain showed the
presence of cerebral infarction of left thalamic area , magnetic
resonance venography ultimately revealed left transverse sinus
thrombosis. Treatment with anticoagulation recovered her from
headache but not from hemiparesis.
Conclusion: Isotretinoin is one of the most used treatment modality in
many patients with acne.However, isotretinoin use can be associated with
life-threating thrombotic side effects especially in young patients.
Physicians must be more alert to be aware of this side effect.
Cerebral Ischemia Probably Related to Isotretinoin
https://journals.sagepub.com/doi/10.1345/aph.1K028
INTRINSIC FACTOR INHIBITION DUE
TO USE OF ISOTRETINOIN
Association between isotretinoin use and central retinal vein occlusion in an adolescent with minor predisposition for thrombotic incidents: a case report
Isotretinoin use may be associated with sight- and life-threatening thrombotic adverse effects even in young patients with otherwise minimal thrombophilic risk. Physicians should be aware of such potential dangers.