Ischemic stroke as the presenting manifestation of localized systemic cancer

Détails

ID Serval
serval:BIB_F6B8D0090222
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Ischemic stroke as the presenting manifestation of localized systemic cancer
Périodique
Schweizer Archiv fur Neurologie und Psychiatrie
Auteur(s)
Cornuz  J., Bogousslavsky  J., Schapira  M., Regli  F., Camenzind  E.
ISSN
0258-7661 (Print)
Statut éditorial
Publié
Date de publication
1988
Volume
139
Numéro
2
Pages
5-11
Notes
Case Reports
Journal Article
Résumé
A cerebral infarct due to a thrombosis of the left pericallosal artery was the first manifestation of an ovarian adenocarcinoma in a 42-year-old woman. A paraneoplastic origin was suggested by the observation that this patient had chronic intravenous coagulation and subsequently developed migratory thrombophlebitis (Trousseau's syndrome) despite high dose vitamin K antagonists therapy. This was supported by the fact that all manifestations of the hypercoagulable state disappeared following surgical cure of the cancer. Because cerebral infarction can be the first manifestation of a potentially curable cancer, patients with a cerebral infarct of an unknown etiology should be investigated for a malignant process, if there is laboratory or clinical evidence od disseminated intravascular coagulation.
Mots-clé
Adenocarcinoma/*complications Adult Blood Coagulation Tests Cerebral Angiography Cerebral Infarction/*etiology Endometriosis/*complications Female Humans Intracranial Embolism and Thrombosis/*etiology Ovarian Neoplasms/*complications Paraneoplastic Syndromes/*etiology Thrombophlebitis/etiology Tomography, X-Ray Computed
Pubmed
Création de la notice
25/01/2008 14:42
Dernière modification de la notice
20/08/2019 17:23
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