scholarly journals Case series of cerebral infarction with Trousseau's syndrome associated with malignant gynecological tumors

2016 ◽  
Vol 5 (1) ◽  
pp. 138-142 ◽  
Author(s):  
MASAKO ISHIKAWA ◽  
KENTARO NAKAYAMA ◽  
TOMOKA ISHIBASHI ◽  
EMI SATO ◽  
KOHEI NAKAMURA ◽  
...  
Keyword(s):  
Cerebral Infarction ◽  
Case Series ◽  
Gynecological Tumors ◽  
Trousseau’S Syndrome

scholarly journals P31-7 Clinical outcomes of cerebral infarction associated with Trousseau’s syndrome in advanced pancreatic cancer patients

2021 ◽  
Vol 32 ◽  
pp. S350
Author(s):  
Tomoyo Oguri ◽  
Hiroyuki Takeda ◽  
Kumiko Umemoto ◽  
Ayako Doi ◽  
Hiroyuki Arai ◽  
...  
Keyword(s):  
Pancreatic Cancer ◽  
Cerebral Infarction ◽  
Cancer Patients ◽  
Clinical Outcomes ◽  
Advanced Pancreatic Cancer ◽  
Trousseau’S Syndrome

P5351In-Flight Stroke in Korea

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
H Park
Keyword(s):  
Cerebral Infarction ◽  
Old Age ◽  
Cryptogenic Stroke ◽  
Case Series ◽  
Flight Time ◽  
Stroke Onset ◽  
Large Artery ◽  
Stroke Patients ◽  
Poor Outcome ◽  
Short Flight

Abstract Background During flight, atmospheric pressure drop, low humidity and restricted motion occur. The environmental change can evoke the stroke occurrence. However, description of in-flight stroke case series has been limited until now. We investigated the clinical and flight trip characteristics of in-flight stroke cases in Korea. Method Since the opening of Incheon international airport, which is used by about 50 million people a year, in 2001, our hospital branch has been located at the airport and all the emergency stroke patients have been referred to our hospital. We performed retrospective review of the prospectively collected stroke registry and the information about the flight from January 2001 to December 2018. Results During the study period, 31 in-flight stroke cases were identified among total 1,452 ischemic stroke patients (17 men, 62±15 years old). Twenty-six patients had cerebral infarction, and four patients had transient ischemic attack. On etiological classification of cerebral infarction, 19 large artery atherothrombosis (61.3%), 1 septic embolism, 3 cryptogenic stroke, 3 cardioembolism (9.7%) and 1 cerebral venous thrombosis were identified. Six patients had Patent Foramen Ovale. Twenty-two patients reported to experience symptom around landing. Fourteen patients had flight for six hours or longer. Compared to the patients with long flight time (≥6 hrs), those with short flight time had the higher incidence of stroke occurrence around landings (32 vs 68%) and low incidence of unclear stroke onset. Poor outcome, defined as mRS 4 or higher, was associated with old age, unclear stroke onset, and early neurologic deterioration. Conclusion In-flight stroke is uncommon, and can easily be neglected during flight, which result in poor outcome. The stroke risk seems to be relatively high around landing, especially in the travelers with short flight time. The possibility of paradoxical embolism related to motion restriction seems low for stroke occurrence. Old age and unclear stroke onset are associated with poor outcomes.

scholarly journals Clinical associations of Trousseau's syndrome associated with cerebral infarction and ovarian cancer

2018 ◽  
Vol 29 (5) ◽  
Author(s):  
Hirokuni Takano ◽  
Keiko Nakajima ◽  
Yoko Nagayoshi ◽  
Hiromi Komazaki ◽  
Jiro Suzuki ◽  
...  
Keyword(s):  
Ovarian Cancer ◽  
Cerebral Infarction ◽  
Trousseau’S Syndrome ◽  
Clinical Associations

scholarly journals Meta-Analysis of the Effectiveness and Safety of Intravenous Thrombolysis in Patients with Acute Cerebral Infarction

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Huili Wu ◽  
Weiping Gong ◽  
Yanyan Tang ◽  
Wuhua Xu ◽  
Ying Zhou ◽  
...  
Keyword(s):  
Cerebral Infarction ◽  
Meta Analysis ◽  
Grey Literature ◽  
Case Series ◽  
Intravenous Thrombolysis ◽  
Acute Cerebral Infarction ◽  
Minor Bleeding ◽  
Randomized Controlled ◽  
The Difference ◽  
Better Than

In this paper, a meta-analysis of the effectiveness and safety of intravenous thrombolysis in patients with acute cerebral infarction was carried out, the original literature inclusion criteria and retrieval strategies were developed, and the collection deadline was about new oral anticoagulants and other methods for the antithrombotic intravenous thrombolytic treatment of patients with acute cerebral infarction for the relevant literature on the safety and effectiveness comparison. First, the quality of the literature is evaluated according to whether the included studies are randomized controlled trials, whether there is randomized concealment, whether blinding is used, and whether they are withdrawn or lost to follow-up, and the RevMan 5.2 software is used for meta-analysis. At the same time, grey literature databases such as dissertations were experimentally searched, and all randomized controlled studies (RCT), nonrandomized controlled studies, case-controlled studies, cohort studies, case series reports, etc. of Wingspan in the treatment of intracranial atherosclerotic stenosis were collected. In the prevention of myocardial infarction in patients with acute cerebral infarction, the difference between the two was not statistically significant ( RR = 0.82 , 95% CI (0.57, 1.17), P = 0.27 ). Compared with other methods, it can significantly reduce the all-cause mortality of patients with nonvalvular venous thrombolysis, and the difference is statistically significant ( RR = 0.90 , 95% CI (0.85, 0.96), P = 0.001 ). Experimental results show that in terms of safety, the new oral anticoagulant is better than other methods in reducing minor bleeding in patients with acute cerebral infarction, and the difference is statistically significant ( RR = 0.87 , 95% CI (0.76, 0 99), P = 0.03 ); the effect is better than other methods in reducing the incidence of serious bleeding events, and the difference is statistically significant ( RR = 0.79 , 95% CI (0.74, 0.85), P < 0.00001 ).

scholarly journals Clinical Features And Neuroimaging Findings In Acute Cerebral Infarction Patients Using RAPID Artificial Intelligent (RAPID AI) Software Analysis – A Series Of 54 Cases

2021 ◽  
Author(s):  
Ngoc Huy Nguyen ◽  
Minh Van Hoang ◽  
Anthony Rudd ◽  
An Quang Nguyen ◽  
Thong Van Nguyen ◽  
...  
Keyword(s):  
Cerebral Infarction ◽  
Cerebral Circulation ◽  
Clinical Signs ◽  
Memory Loss ◽  
Case Series ◽  
Infarct Core ◽  
Permanent Disability ◽  
Artificial Intelligent ◽  
Software Analysis ◽  
Number Of Patients

Abstract Background: Stroke is the second leading cause of death and the leading cause of permanent disability globally. Vietnam is a developing country with a high prevalence of stroke but is under-resourced in terms of specialist staff able to interpret complex brain imaging. Methods: A case series of 54 stroke patients admitted between October 2019 and October 2020 where thrombectomy was being considered and where ‘Rapid’ Artificial Intelligence (AI) was used to analyze images of stroke. Results: The mean age of patients was 73.39 ± 12.46 years with 57% male. The most common risk factors were (76%), atrial fibrillation (24%), diabetes (20%), alcohol (15%), and smoking (9%). The most common clinical signs were hemiparesis in 76% of the patients, followed by dysphasia in 50% and memory loss in 28% of the sample. 7% presented with dizziness and 7% with headache. 6% were unconscious on admission. ASPECTS evaluation showed that 24 (44%) patients had good ASPECTS scores of 8-10, 17 (32%) patients had ASPECTS scores of 5-7, and 13 (24%) patients had ASPECTS scores of 0-4. The number of patients with an infarct core volume <70 mL was 50 (93%), while a mismatch volume of >15 mL was observed in 31 (55%) patients and 22 (41%) patients had a mismatch ratio >1.8. The assessment of CT imaging of thrombi showed 51 cases of anterior cerebral circulation, including 13 (24%) cases diagnosed as ICA, 30 (76%) cases diagnosed as MCA, and 8 (15%) cases diagnosed as SA. There were 10 cases of MCA-M1 (19%), 7 cases of MCA-M2 and MCA-M4 (13%) cases and 6 cases of MCA-M3 (11%), respectively. There were three cases of posterior cerebral circulation, comprising Posterior Cerebral artery (PCA) infarction and two cases of Basilar Artery (BA) territory infarction. Conclusions: RAPID Artificial Intelligent (RAPID AI) Software Analysis combined with clinical assessment can be used in identify the size and site of cerebral infarction and diffusion perfusion mismatch in routine clinical practice in Vietnam.

Multiple cerebral infarction due to Trousseau’s syndrome as the first manifestation of pancreatic adenocarcinoma

2020 ◽  
Vol 120 (6) ◽  
pp. 1445-1447
Author(s):  
Cerquera Johan ◽  
Munar Nelson ◽  
Gonzales Nadia ◽  
Morales Jose ◽  
Docampo Jorge
Keyword(s):  
Cerebral Infarction ◽  
Pancreatic Adenocarcinoma ◽  
Trousseau’S Syndrome ◽  
Multiple Cerebral Infarction

scholarly journals Pulmonary vein thrombosis and cerebral infarction after video-assisted thoracic surgery of the left upper lobe: a case series

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Yosuke Fujii ◽  
Yumiko Mori ◽  
Kei Kambara ◽  
Kiichi Hirota ◽  
Masashi Yanada ◽  
...  
Keyword(s):  
Cerebral Infarction ◽  
Thoracic Surgery ◽  
Pulmonary Vein ◽  
Case Series ◽  
Postoperative Management ◽  
Middle Cerebral Artery Infarction ◽  
Video Assisted Thoracic Surgery ◽  
Vein Thrombosis ◽  
Video Assisted ◽  
Cerebral Herniation

Abstract Background Pulmonary vein thrombosis (PVT) and cerebral infarction are rare but critical complications after video-assisted thoracic surgery (VATS). Case presentation We experienced two cases of massive middle cerebral artery infarction after VATS for the left upper lobe. Although the precise source of their embolus was never identified, both cases were clinically suspected PVT. Unfortunately, case 2 died because of progressive cerebral herniation. We decided to perform contrast-enhanced computed tomography routinely after VATS for the left upper lobectomy (VATS-LUL) after these cases. Case 3, a 79-year-old female patient, underwent VATS-LUL for lung cancer. She developed PVT in the stump of the left upper pulmonary vein on postoperative day 4. Anti-coagulation therapy was begun immediately and continued for 3 months. She was free of complications 7 months after the operation. Conclusion PVT and cerebral infarction may occur after VATS-LUL. Appropriate postoperative management is required to recognize PVT and to prevent life-threatening stroke.

Sign in / Sign up

Export Citation Format

Share Document