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良性子宫肌瘤所致复发性脑梗死

Recurrent Cerebral Infarction Due to Benign Uterine Myoma.

作者信息

Higuchi Eiko, Toi Sono, Shirai Yuka, Mizuno Satoko, Onizuka Hiromi, Nagashima Yoji, Hashimoto Kazunori, Kitagawa Kazuo

机构信息

Department of Neurology, Tokyo Women's Medical University Hospital, Tokyo, Japan.

Department of Neurology, Tokyo Women's Medical University Hospital, Tokyo, Japan.

出版信息

J Stroke Cerebrovasc Dis. 2019 Jan;28(1):e1-e2. doi: 10.1016/j.jstrokecerebrovasdis.2018.09.034. Epub 2018 Oct 23.

Abstract

The hypercoagulable state in patients with cancer has been shown to be closely associated with ischemic stroke. However, it is unlikely that benign tumors are related to stroke. The development of benign uterine tumors is common in middle-aged women. Previous studies have shown cases of ischemic stroke with benign uterine tumor, but the causal relationship between these 2 remain unknown. We report a case of recurrent ischemic stroke in a middle-aged woman who had a benign uterine tumor. After excision, there was no recurrence for 2 years. Microemboli detection, clinical course and histological findings support a relationship between uterine tumor and ischemic stroke.

摘要

癌症患者的高凝状态已被证明与缺血性中风密切相关。然而,良性肿瘤不太可能与中风有关。良性子宫肿瘤在中年女性中很常见。先前的研究已经报道过良性子宫肿瘤合并缺血性中风的病例,但两者之间的因果关系仍不清楚。我们报告一例患有良性子宫肿瘤的中年女性复发性缺血性中风病例。肿瘤切除后,两年内未复发。微栓塞检测、临床病程和组织学检查结果支持子宫肿瘤与缺血性中风之间存在关联。

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