以脑静脉血栓形成为首发表现的隐匿性前列腺癌 1 例
A case of cerebral venous thrombosis as the presenting sign of occult prostate cancer.
机构信息
Department of Neurology, Chungbuk National University College of Medicine, Cheongju, Korea.
出版信息
J Clin Neurol. 2009 Dec;5(4):195-7. doi: 10.3988/jcn.2009.5.4.195. Epub 2009 Dec 31.
BACKGROUND
Cerebral venous thrombosis (CVT) is a distinct disorder with highly variable symptoms and courses. Malignancy is known to be one of the predisposing factors of CVT.
CASE REPORT
We present the case of a 69-year-old man with sudden behavioral changes. Brain MRI, magnetic resonance venography, and positive D-dimer assay confirmed the presence of CVT. The work-up for detecting the cause of the CVT revealed occult prostate cancer.
CONCLUSIONS
Occult malignancy including prostate cancer should be strongly suspected in older patients with idiopathic CVT.
背景
脑静脉血栓形成（CVT）是一种具有高度可变症状和病程的独特疾病。众所周知，恶性肿瘤是 CVT 的一个诱发因素。
病例报告
我们报告了一例 69 岁男性，突发行为改变。脑部 MRI、磁共振静脉造影和 D-二聚体检测阳性均证实存在 CVT。为查找 CVT 病因的检查发现隐匿性前列腺癌。
结论
对于原因不明的特发性 CVT 老年患者，应强烈怀疑隐匿性恶性肿瘤，包括前列腺癌。
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