Ischaemic stroke as the first presentation of occult squamous cell cancer.

A 39 years old female presented with sudden onset of left sided weakness and CT scan brain confirmed an ischaemic stroke. Extensive investigations looking for the underlying cause were un-rewarding. She presented few days later with confusion and fever and was found to have multiple new cerebral infarcts, disseminated intravascular coagulation, rectal mass and liver metastases.