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Published on: November 4, 2022
Stroke and Disseminated Intravascular Coagulation in a Patient With Metastatic Prostate Cancer
Jonah P Zuflacht1, Joshua M Levine2
1Department of Neurology, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
Patients with cancer face a higher stroke risk, yet are often excluded from trials. This case highlights managing recurrent strokes in metastatic prostate cancer, discussing an atypical cause and treatment.
Area of Science:
- Neurology
- Oncology
Background:
- Cancer and stroke are leading global causes of death.
- Patients with cancer have a significantly increased risk of stroke.
- Limited evidence exists for managing stroke in cancer patients due to trial exclusions.
Purpose of the Study:
- To present a case of recurrent strokes in a patient with metastatic prostate cancer.
- To review an atypical cause of cancer-associated stroke.
- To discuss management strategies for this complex patient population.
Main Methods:
- Case report of a 78-year-old man.
- Review of atypical cancer-associated stroke etiology.
- Discussion of clinical management.
Main Results:
- The patient experienced recurrent ischemic and hemorrhagic strokes.
- The strokes occurred in the context of newly diagnosed metastatic prostate cancer.
- An atypical cause of cancer-associated stroke was identified and discussed.
Conclusions:
- Managing stroke in cancer patients presents unique challenges.
- Understanding atypical stroke mechanisms in malignancy is crucial.
- This case underscores the need for tailored management approaches.
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