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CT-Proven Ischaemic Stroke as the First Manifestation of Occult Lung Cancer

dc.contributor.authorAzeredo Costa, J
dc.contributor.authorRodrigues, M
dc.contributor.authorMonteiro, M
dc.contributor.authorSalvado, V
dc.contributor.authorDias, L
dc.date.accessioned2021-04-14T10:58:31Z
dc.date.available2021-04-14T10:58:31Z
dc.date.issued2019
dc.description.abstractCancer is associated with a higher risk of stroke, and in rare cases stroke can be the first manifestation of occult neoplasia. We present the case of a 74-year-old woman hospitalized for ischaemic stroke with multiple cerebral infarctions in several vascular territories. The exclusion of other aetiologies and the simultaneous presence of thromboembolic events in other organs raised the suspicion of a hypercoagulable state, which upon investigation revealed occult neoplasia of the lung. There was rapid deterioration, with recurrent thrombotic events despite anticoagulation, which eventually led to the patient's death. Learning points: Stroke can be the first manifestation of occult neoplasia.In the presence of cryptogenic stroke, high D-dimers, multiple brain infarctions in different vascular territories and thromboembolic events in other organs, the possibility of hidden neoplasia should be considered.Anticoagulation in disseminated intravascular coagulation is insufficient if the primary disease is not treated.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationEur J Case Rep Intern Med. 2019 Jan 18;6(1):001007.pt_PT
dc.identifier.doi10.12890/2019_001007pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/3644
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectHSJ MEDpt_PT
dc.subjectStrokept_PT
dc.subjectLung Cancerpt_PT
dc.subjectDisseminated Intravascular Coagulationpt_PT
dc.titleCT-Proven Ischaemic Stroke as the First Manifestation of Occult Lung Cancerpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue1pt_PT
oaire.citation.startPage001007pt_PT
oaire.citation.titleEuropean Journal of Case Reports in Internal Medicinept_PT
oaire.citation.volume6pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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