Nonbacterial Thrombotic Endocarditis Related to Adenocarcinoma of the Uterine Cervix

We report a 66-year-old female patient who presented with acute onset of visual loss with relative afferent pupillary defect, hemineglect, hemihypesthesia, and apraxia. Magnetic resonance imaging of the brain demonstrated different stages of ischemic stroke in different vascular territories, suggest...

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Published inCase reports in neurology Vol. 12; no. Suppl 1; pp. 183 - 188
Main Authors Kijpaisalratana, Naruchorn, Chutinet, Aurauma, Travanichakul, Suporn, Kitjawijit, Teeraparp, Yokumporn, Pajaree, Duangjino, Kotchakorn, Suwanwela, Nijasri C.
Format Journal Article
LanguageEnglish
Published Basel, Switzerland S. Karger AG 01.12.2020
Karger Publishers
Subjects
adenocarcinoma
Anticoagulants
Apraxia
Brain and Heart
Cancer therapies
Case reports
Cervical cancer
Cervix
Disease
Embolisms
Embolization
Endocarditis
Magnetic resonance imaging
marantic endocarditis
Medical imaging
Medical prognosis
nonbacterial thrombotic endocarditis
Ovarian cancer
Patients
Stroke
Vegetation
Veins & arteries
Adenocarcinoma
Marantic endocarditis
Nonbacterial thrombotic endocarditis
Cervical cancer
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Summary:We report a 66-year-old female patient who presented with acute onset of visual loss with relative afferent pupillary defect, hemineglect, hemihypesthesia, and apraxia. Magnetic resonance imaging of the brain demonstrated different stages of ischemic stroke in different vascular territories, suggesting cardiogenic embolism. Past history was significant for advanced-stage adenocarcinoma of the uterine cervix under chemoradiation treatment. On echocardiogram, vegetation at the aortic valve was observed. With the absence of evidence of infectious endocarditis, diagnosis of nonbacterial thrombotic endocarditis was made, and the patient was treated by long-term anticoagulant. This case is unique in terms of the adenocarcinoma cell type of cervical cancer, which is uncommon and has been rarely reported to be related to nonbacterial thrombotic endocarditis.
ISSN:1662-680X
1662-680X
DOI:10.1159/000507277