Recurrent strokes as the first manifestation in a patient with adenocarcinoma of unknown origin
Journal
Acta Neurologica Taiwanica
Journal Volume
8
Journal Issue
2
Pages
107-111
Date Issued
1999
Author(s)
Abstract
Non-bacterial thrombotic endocarditis (NBTE) is an important but difficult to diagnose cerebrovascular complication of cancer. Herein, we present a 59-year-old woman who had recurrent cerebral infarcts before the diagnosis of cancer. A massive pericardial and pleural effusion developed rapidly followed by a gangrene change of the distal limbs. An adenocarcinoma was discovered by a cytology examination of the pericardial effusion. The patient died about two months after her first stroke. Nonbacterial thrombotic endocarditis was most likely responsible for her recurrent cerebral infarcts and systemic embolization.
Subjects
Adenocarcinoma; Nonbacterial thrombotic endocarditis; Recurrent stroke
SDGs
Other Subjects
adenocarcinoma; adult; article; brain infarction; case report; cerebrovascular disease; endocarditis; female; human; pericardial effusion; pleura effusion; stroke
Type
journal article