Cerebral infarction associated with benign mucin-producing adenomyosis: report of two cases

Abstract Background Cerebral infarction associated with a malignant tumor is widely recognized as Trousseau syndrome. In contrast, few cases of cerebral infarction associated with benign tumors have been reported. We present two cases of embolic stroke that seemed to be caused by mucin-producing ade...

Full description

Bibliographic Details
Main Authors: Koki Okazaki, Fumiaki Oka, Hideyuki Ishihara, Michiyasu Suzuki
Format: Article
Language:English
Published: BMC 2018-10-01
Series:BMC Neurology
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12883-018-1169-2
_version_ 1818196853055815680
author Koki Okazaki
Fumiaki Oka
Hideyuki Ishihara
Michiyasu Suzuki
author_facet Koki Okazaki
Fumiaki Oka
Hideyuki Ishihara
Michiyasu Suzuki
author_sort Koki Okazaki
collection DOAJ
description Abstract Background Cerebral infarction associated with a malignant tumor is widely recognized as Trousseau syndrome. In contrast, few cases of cerebral infarction associated with benign tumors have been reported. We present two cases of embolic stroke that seemed to be caused by mucin-producing adenomyosis. Case presentation The patients were women aged 42 and 50 years old. Both patients developed right hemiparesis and aphasia, and cerebral infarctions were detected in the left cerebral hemisphere. There were no other abnormal findings, except for elevation of CA125 and D-dimer. Trousseau syndrome was suspected in both cases, but whole body examinations did not reveal any malignant tumors. However, uterine adenomyosis was detected in both patients. Conclusions From our findings and a review of the literature, both mucin-producing malignant tumors and mucin-producing benign tumors such as adenomyosis may cause hypercoagulability and cerebral infarction. This mechanism should be considered in a case of a young to middle-aged woman with embolic stroke of an undetermined origin.
first_indexed 2024-12-12T01:40:40Z
format Article
id doaj.art-221ae0abbdad4f4bb5e5df5ad314dab6
institution Directory Open Access Journal
issn 1471-2377
language English
last_indexed 2024-12-12T01:40:40Z
publishDate 2018-10-01
publisher BMC
record_format Article
series BMC Neurology
spelling doaj.art-221ae0abbdad4f4bb5e5df5ad314dab62022-12-22T00:42:42ZengBMCBMC Neurology1471-23772018-10-011811410.1186/s12883-018-1169-2Cerebral infarction associated with benign mucin-producing adenomyosis: report of two casesKoki Okazaki0Fumiaki Oka1Hideyuki Ishihara2Michiyasu Suzuki3Department of Neurosurgery, Yamaguchi University School of MedicineDepartment of Neurosurgery, Yamaguchi University School of MedicineDepartment of Neurosurgery, Yamaguchi University School of MedicineDepartment of Neurosurgery, Yamaguchi University School of MedicineAbstract Background Cerebral infarction associated with a malignant tumor is widely recognized as Trousseau syndrome. In contrast, few cases of cerebral infarction associated with benign tumors have been reported. We present two cases of embolic stroke that seemed to be caused by mucin-producing adenomyosis. Case presentation The patients were women aged 42 and 50 years old. Both patients developed right hemiparesis and aphasia, and cerebral infarctions were detected in the left cerebral hemisphere. There were no other abnormal findings, except for elevation of CA125 and D-dimer. Trousseau syndrome was suspected in both cases, but whole body examinations did not reveal any malignant tumors. However, uterine adenomyosis was detected in both patients. Conclusions From our findings and a review of the literature, both mucin-producing malignant tumors and mucin-producing benign tumors such as adenomyosis may cause hypercoagulability and cerebral infarction. This mechanism should be considered in a case of a young to middle-aged woman with embolic stroke of an undetermined origin.http://link.springer.com/article/10.1186/s12883-018-1169-2Cerebral infarctionAdenomyosisTrousseau’s syndromeBenign tumorCase report
spellingShingle Koki Okazaki
Fumiaki Oka
Hideyuki Ishihara
Michiyasu Suzuki
Cerebral infarction associated with benign mucin-producing adenomyosis: report of two cases
BMC Neurology
Cerebral infarction
Adenomyosis
Trousseau’s syndrome
Benign tumor
Case report
title Cerebral infarction associated with benign mucin-producing adenomyosis: report of two cases
title_full Cerebral infarction associated with benign mucin-producing adenomyosis: report of two cases
title_fullStr Cerebral infarction associated with benign mucin-producing adenomyosis: report of two cases
title_full_unstemmed Cerebral infarction associated with benign mucin-producing adenomyosis: report of two cases
title_short Cerebral infarction associated with benign mucin-producing adenomyosis: report of two cases
title_sort cerebral infarction associated with benign mucin producing adenomyosis report of two cases
topic Cerebral infarction
Adenomyosis
Trousseau’s syndrome
Benign tumor
Case report
url http://link.springer.com/article/10.1186/s12883-018-1169-2
work_keys_str_mv AT kokiokazaki cerebralinfarctionassociatedwithbenignmucinproducingadenomyosisreportoftwocases
AT fumiakioka cerebralinfarctionassociatedwithbenignmucinproducingadenomyosisreportoftwocases
AT hideyukiishihara cerebralinfarctionassociatedwithbenignmucinproducingadenomyosisreportoftwocases
AT michiyasusuzuki cerebralinfarctionassociatedwithbenignmucinproducingadenomyosisreportoftwocases