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Recurrent stroke in a patient of lung cancer without pulmonary mass: A case report.

Abstract 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.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 29384885
OWN - NLM
STAT- In-Process
LR  - 20180131
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 5
DP  - 2018 Feb
TI  - Recurrent stroke in a patient of lung cancer without pulmonary mass: A case
      report.
PG  - e9815
LID - 10.1097/MD.0000000000009815 [doi]
AB  - RATIONALE: 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.
FAU - Wang, Lisha
AU  - Wang L
AD  - Department of Neurology, Zhongnan Hospital of Wuhan University, Wuchang District,
      Wuhan City, Hubei Province, People's Republic of China.
FAU - Xu, Yan
AU  - Xu Y
FAU - Tuo, Minghui
AU  - Tuo M
FAU - Zhang, Lei
AU  - Zhang L
FAU - Zhang, Hong
AU  - Zhang H
FAU - Wang, Jing
AU  - Wang J
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
EDAT- 2018/02/01 06:00
MHDA- 2018/02/01 06:00
CRDT- 2018/02/01 06:00
PHST- 2018/02/01 06:00 [entrez]
PHST- 2018/02/01 06:00 [pubmed]
PHST- 2018/02/01 06:00 [medline]
AID - 10.1097/MD.0000000000009815 [doi]
AID - 00005792-201802020-00047 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 Feb;97(5):e9815. doi: 10.1097/MD.0000000000009815.