Introduction: Hidden neoplasms can present clinically with stroke, secondary to hypercoagulable states, even in young patients. Case report A 31-year-old woman, with no previous medical history, developed tonicclonic seizures and was brought to the emergency department in ictal state, which resolved with antiepileptic treatment. Initial brain MRI showed multiple bilateral acute ischemic strokes. A Doppler ultrasound was ordered to evaluate secondary hypertension and showed mild hepatomegaly. An abdominal CT scan revealed the presence of a cystic pancreatic lesion. Biopsy of the lesion was consistent with adenocarcinoma of the pancreas. Discussion: Approximately 1% of all ischemic strokes and up to 4% of strokes in young adults are secondary to hematological disorders. Conclusion: Stroke can be the initial presentation of hypercoagulable states secondary to pancreatic adenocarcinoma. In the presence of cryptogenic strokes in a young patient, unfrequent causes of stroke, such as occult malignancies, should also be considered.
|Translated title of the contribution||Stroke as initial manifestation of Trousseau’s syndrome in a young woman|
|Number of pages||4|
|State||Published - Oct 1 2015|
- Trousseau’s syndrome
ASJC Scopus subject areas
- Clinical Neurology