Kasapas Konstantinos, Malli Antonia, Kassioti Eleni, Valkimadi Polytimi-Eleni
Neurosurgery, Athens General Hospital "G. Gennimatas", Athens, GRC.
Neurology, Athens Naval Hospital, Athens, GRC.
Cureus. 2020 Aug 18;12(8):e9824. doi: 10.7759/cureus.9824.
Neurological deterioration or new focal deficits in patients with primary brain tumors are usually related to intratumoral hemorrhage, disease progression, seizures (Todd paralysis) and, rarely, ischemic stroke. Ischemic strokes in this group of patients are usually a postoperative complication, a long-term result of radiation vasculopathy, embolic due to hypercoagulability and, less commonly, caused by vessel occlusion by an adjacent brain tumor. We report a rare case of ischemic stroke secondary to a newly diagnosed high-grade glioma and the possible mechanisms that resulted in this medical condition.
原发性脑肿瘤患者出现神经功能恶化或新的局灶性缺损通常与肿瘤内出血、疾病进展、癫痫发作(托德麻痹)有关,很少与缺血性卒中有关。该组患者的缺血性卒中通常是术后并发症、放射性血管病的长期结果、高凝状态导致的栓塞,较少见的是由相邻脑肿瘤压迫血管所致。我们报告了一例罕见的新诊断高级别胶质瘤继发缺血性卒中的病例以及导致这种病症的可能机制。