Recurrent stroke in a patient of lung cancer without pulmonary mass: A case report

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Abstract

Rationale:

Repeated occurring stroke in short intervals with hypercoagulability is unusual so in such cases the conventional vascular risk factors might not be the causes of stroke.

Patient concerns:

We have presented a case of 60-year-old male presenting with recurrent stroke due to thrombophilia.

Diagnoses:

Lung cancer was detected by superficial lymph nodes ultrasound and further pathological examination.

Interventions:

The patient suffered a recurrent stroke and he had persistently high level of D-dimer which suggested the diagnosis of thrombophilia, thus, he was treated with low-molecular-weight heparin. Unfortunately, the treatment was not effective for the patient and he died before any other treatments could be administered.

Outcomes:

Despite anticoagulant therapy, the patient suffered multiple episodes of stroke and ultimately died.

Lessons:

This case of recurrent stroke with coagulation disorders without evidence of cancer in imaging and blood test is rare. So in a stroke patient, we should consider malignancy or metastasis as a differential diagnosis as it may be the first manifestation of active cancer elsewhere.

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