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Recurrent Strokes in a Patient With Metastatic Lung Cancer. | LitMetric

Recurrent Strokes in a Patient With Metastatic Lung Cancer.

Cureus

Internal Medicine, JSS (Jagadguru Sri Shivarathreeshwara) Medical College and Hospital, JSSAHER (JSS Academy of Higher Education and Research), Mysuru, IND.

Published: February 2023

AI Article Synopsis

  • A stroke occurs when blood flow to the brain is disrupted, leading to brain cell death, and cancer-associated stroke (CAS) is a severe complication that can arise when tumors affect brain blood vessels.
  • A 60-year-old male with lung cancer that has spread to several organs experienced three strokes in just three months, resulting in symptoms like hemiplegia and aphasia.
  • Management involved dual antiplatelet therapy, neuroprotective medications, and physiotherapy, highlighting the need for regular screening for neurovascular issues in patients with advanced cancers and the importance of proactive treatment.

Article Abstract

A stroke, also known as cerebrovascular accident (CVA), is a medical condition that occurs when the blood supply to the brain is interrupted, resulting in brain cell death. Cancer-associated stroke (CAS) is a rare but serious complication of cancer, where a malignant tumor or its metastases invade or compress the blood vessels in the brain, resulting in a stroke. We describe a case of a 60-year-old male patient recently diagnosed with lung cancer with metastasis to the liver, esophagus, small intestine, and pancreas who has had at least three CVAs within a span of three months. He developed sequelae such as hemiplegia and aphasia. He was managed with dual antiplatelet therapy, neuroprotective drugs, and physiotherapy. Patients with advanced cancers should be routinely screened for neurovascular complications and risks. Prophylactic therapy should be started wherever warranted.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9995248PMC
http://dx.doi.org/10.7759/cureus.34699DOI Listing

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