Recurrent stroke in a patient of lung cancer without pulmonary mass

Recurrent stroke in a patient of lung cancer without pulmonary mass AbstractRationale:Repeated occurring stroke in short intervals with hypercoagulability is unusual so in such cases the conventional vascular risk factors might not be the causes of stroke.Patient concerns:We have presented a case of 60-year-old male presenting with recurrent stroke due to thrombophilia.Diagnoses:Lung cancer was detected by superficial lymph nodes ultrasound and further pathological examination.Interventions:The patient suffered a recurrent stroke and he had persistently high level of D-dimer which suggested the diagnosis of thrombophilia, thus, he was treated with low-molecular-weight heparin. Unfortunately, the treatment was not effective for the patient and he died before any other treatments could be administered.Outcomes:Despite anticoagulant therapy, the patient suffered multiple episodes of stroke and ultimately died.Lessons:This case of recurrent stroke with coagulation disorders without evidence of cancer in imaging and blood test is rare. So in a stroke patient, we should consider malignancy or metastasis as a differential diagnosis as it may be the first manifestation of active cancer elsewhere. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Medicine Wolters Kluwer Health

Recurrent stroke in a patient of lung cancer without pulmonary mass

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Publisher
Wolters Kluwer Health
Copyright
Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc.
ISSN
0025-7974
eISSN
1536-5964
D.O.I.
10.1097/MD.0000000000009815
Publisher site
See Article on Publisher Site

Abstract

AbstractRationale:Repeated occurring stroke in short intervals with hypercoagulability is unusual so in such cases the conventional vascular risk factors might not be the causes of stroke.Patient concerns:We have presented a case of 60-year-old male presenting with recurrent stroke due to thrombophilia.Diagnoses:Lung cancer was detected by superficial lymph nodes ultrasound and further pathological examination.Interventions:The patient suffered a recurrent stroke and he had persistently high level of D-dimer which suggested the diagnosis of thrombophilia, thus, he was treated with low-molecular-weight heparin. Unfortunately, the treatment was not effective for the patient and he died before any other treatments could be administered.Outcomes:Despite anticoagulant therapy, the patient suffered multiple episodes of stroke and ultimately died.Lessons:This case of recurrent stroke with coagulation disorders without evidence of cancer in imaging and blood test is rare. So in a stroke patient, we should consider malignancy or metastasis as a differential diagnosis as it may be the first manifestation of active cancer elsewhere.

Journal

MedicineWolters Kluwer Health

Published: Feb 1, 2018

References

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