Stroke is a frequent complication in patients with cancer occurring in nearly 15% of the cases. However cerebrovascular disease as the first presentation of malignancy has rarely been reported. We report two such cases who were admitted with acute stroke but were later on found to be having malignancy. Routine workup was unrewarding in both patients. Both patients developed pulmonary embolism as well during hospital stay suggesting hypercoagulable state as likely etiology. Reaching to the final diagnosis was an arduous journey but can help guide other clinicians facing similar cases. Non Hodgkins B cell lymphoma and Carcinoma Gall bladder were the final diagnosis in our patients. Therefore, we recommend workup for malignancy if no likely cause is found on routine extensive workup before labelling stroke as cryptogenic stroke. Ultrasound abdomen was particularly rewarding in our patients.
Niazi, Farheen; Kakar, Puneet; Jha, Ratneshwari; Dhami, Reena; and Edoo, Farook
"STROKE AS A FIRST PRESENTATION OF MALIGNANCY,"
Pakistan Journal of Neurological Sciences (PJNS): Vol. 11
, Article 9.
Available at: http://ecommons.aku.edu/pjns/vol11/iss4/9