Journal of Clinical Case Reports

Department of Neurosurgery, Takashimadaira General Central Hospital, Tokyo 175 0082, Japan

Publications

• Case Report   
  Adenomyosis-associated Recurrent Acute Cerebral Infarction Mimicking Trousseau's Syndrome: A Case Study and Review of Literature
  Author(s): Nobuhiko Arai*, Kazunari Yachi, Ryutao Ishihara and Takao Fukushima
  
  Adenomyosis is a common, benign uterine disease. Acute cerebral infarction (CI) associated with adenomyosis is rarely reported and difficult to treat. We experienced successful treatment for this disease. A 50-year-old woman presented with a two-day history of visual disturbance. Magnetic resonance imaging showed multiple tiny diffusion-weighted high-density spots on several lobes. No common risk factors for stroke were detected. Cancer antigen 125 Level was 999 U/mL, along with massively expanded uterus and adnexa. Based on the diagnosis of benign adenomyosis, direct oral anticoagulants and GnRH agonists were administered for CI and adenomyosis, respectively. Acute CI recurred seven days after admission. We suspected a relationship between infarction and adenomyosis, and concluded hysterectomy as a proper treatment strategy based on literature. Eighteen months.. Read More»
  DOI: 10.4172/2165-7920.10001495

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