多发性栓塞性脑梗死作为转移性卵巢癌的首发表现。
Multiple embolic cerebral infarcts as the first manifestation of metastatic ovarian cancer.
作者信息
Bond Laura M, Skrobo Darko
机构信息
Department of Acute Medicine, Institution of Medicine, Dublin, Ireland.
出版信息
BMJ Case Rep. 2015 Oct 6;2015:bcr2015211521. doi: 10.1136/bcr-2015-211521.
Abstract
A 36-year-old woman presented to the emergency department with a 3-day history of an occipital headache associated with transient visual impairment and short-term memory loss. MRI of the brain showed innumerable focal embolic infarcts of differing ages, for which a cause could not be determined. The patient was discharged and readmitted 7 weeks later with acute aphasia and a right-sided hemiplegia. CT of the abdomen revealed a right-sided ovarian mass and prominent retroperitoneal nodes, which cytology confirmed to be metastatic ovarian cancer.
摘要
一名36岁女性因枕部头痛伴短暂视力障碍和短期记忆丧失3天就诊于急诊科。脑部MRI显示有无数不同时期的局灶性栓塞性梗死灶，病因不明。患者出院，7周后因急性失语和右侧偏瘫再次入院。腹部CT显示右侧卵巢肿块和明显的腹膜后淋巴结，细胞学检查证实为转移性卵巢癌。
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本文引用的文献
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J Neurol Transl Neurosci. 2014;2(1):1039.
2
Risk of ischemic stroke in patients with ovarian cancer: a nationwide population-based study.卵巢癌患者发生缺血性卒中的风险：一项基于全国人群的研究。
BMC Med. 2014 Mar 25;12:53. doi: 10.1186/1741-7015-12-53.
3
Incidence of venous thromboembolism in patients with cancer - a cohort study using linked United Kingdom databases.癌症患者静脉血栓栓塞症的发生率 - 使用联合英国数据库的队列研究。
Eur J Cancer. 2013 Apr;49(6):1404-13. doi: 10.1016/j.ejca.2012.10.021. Epub 2012 Nov 9.
4
Glioblastoma multiforme presenting with ischemic stroke: case report and review of the literature.多形性胶质母细胞瘤伴脑梗死：病例报告及文献复习。
J Neuroradiol. 2011 Dec;38(5):304-7. doi: 10.1016/j.neurad.2011.01.008. Epub 2011 Apr 13.
5
Arterial and venous thrombosis in cancer patients.癌症患者的动脉和静脉血栓形成。
Cardiol Res Pract. 2011 Mar 3;2011:394740. doi: 10.4061/2011/394740.
6
Acute stroke patients have occult malignancy more often than expected.急性脑卒中患者的隐匿性恶性肿瘤比预期更常见。
Eur Neurol. 2010;64(3):140-4. doi: 10.1159/000316764. Epub 2010 Jul 29.
7
Ischemic stroke in cancer patients with and without conventional mechanisms: a multicenter study in Korea.癌症患者伴发和不伴发传统机制的缺血性脑卒中：韩国多中心研究。
Stroke. 2010 Apr;41(4):798-801. doi: 10.1161/STROKEAHA.109.571356. Epub 2010 Feb 11.
8
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9
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J Stroke Cerebrovasc Dis. 2007 Mar-Apr;16(2):88-90. doi: 10.1016/j.jstrokecerebrovasdis.2006.10.006.
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