Right middle cerebral artery stroke secondary to ovarian clear cell carcinoma in a 35-year-old: A case report

Blustein, Pegah; Werner, Sarah; Sham, Sunder; Febles, Anthony; Katz, Heather; Villella, Jeannine

doi:10.1016/j.crwh.2023.e00485

Cited by 1 publication

(2 citation statements)

References 19 publications

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“…Trousseau syndrome, first described in 1865 by Armand Trousseau, describes the hypercoagulability associated with malignant diseases[ 18 ]. Although ovarian cancer has a high incidence of VTE, cerebral infarction or arterial embolism rarely occur in ovarian cancer[ 19 ]. In a study that included 13031 patients with ovarian cancer, 5.2% had VTE events within 24 months[ 20 ].…”

Section: Discussionmentioning

confidence: 99%

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Ischemic stroke with concomitant clear cell carcinoma of the ovary: A case report and review of literature

Siu,

Ding

2024

World J Clin Cases

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BACKGROUND Ischemic stroke is a rare event associated with an elevated risk of blood clot formation owing to an underlying malignancy. Herein, we present a case of ovarian carcinoma that led to cerebral infarction. CASE SUMMARY A 43-year-old woman experienced sudden onset right-sided paralysis and difficulty speaking two days after discovery of a large ovarian tumor measuring approximately 14 cm, which was suspected to be malignant. Further examination revealed left middle cerebral artery infarction. The patient had a history of hypertension and adenomyosis. Following stabilization with heparin treatment and vital signs management, the patient underwent debulking surgery, including total hysterectomy, bilateral salpingo-oophorectomy, omentectomy, and bilateral pelvic and para-aortic lymph node dissection. The final diagnosis was clear cell carcinoma of the right ovary (stage IA). Subsequently, the patient completed six rounds of adjuvant chemotherapy while simultaneously undergoing rehabilitation. Presently, the patient is able to walk independently, although she still experiences aphasia. CONCLUSION Prompt medical intervention and interdisciplinary care are crucial in the setting of incidental findings such as a large ovarian tumor.

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Section: Discussionmentioning

confidence: 99%

“…We searched the literature and found one populational study and 15 case reports related to this topic (Table 1 )[ 19 , 21 , 28 - 40 ]. The patients’ ages ranged from 35 to 76 years, and most patients had a history of hypertension.…”

Section: Discussionmentioning

confidence: 99%

Ischemic stroke with concomitant clear cell carcinoma of the ovary: A case report and review of literature

Siu,

Ding

2024

World J Clin Cases

View full text Add to dashboard Cite

show abstract

Right middle cerebral artery stroke secondary to ovarian clear cell carcinoma in a 35-year-old: A case report

Cited by 1 publication

References 19 publications

Ischemic stroke with concomitant clear cell carcinoma of the ovary: A case report and review of literature

Ischemic stroke with concomitant clear cell carcinoma of the ovary: A case report and review of literature

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