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A difficult case
Recurrent brain ischaemia and deep vein thrombosis: the clot thickens
  1. David Turner1,
  2. Marie Scully2,
  3. Sheldon Stone3,
  4. David J Werring4
  1. 1 Hyper Acute Stroke Unit, University College London Hospital, London, UK
  2. 2 Department of Haematology, University College London Hospital, London, UK
  3. 3 Hyper Acute Stroke Unit, University College London Hospital, London, UK
  4. 4 Department of Brain Repair & Rehabilitation, Stroke Research Centre, UCL Institute of Neurology, London, UK
  1. Correspondence to Dr David Turner, Hyper-acute Stroke Unit, University College London Hospital, London, NW1 2BU, UK; david.turner7{at}nhs.net

Abstract

A 65-year-old man presented with two transient ischaemic attacks, and was then found to have a deep vein thrombosis. He later had recurrent ischaemic strokes. After thorough investigation, the only cause we identified was a previously undiagnosed metastatic pancreatic cancer. We describe the assessment of this presentation and discuss the causes and management of cancer-related stroke.

  • TIA
  • Ischaemic stroke
  • Pancreatic Cancer
  • Cancer related stroke
  • Hypercoaguable state

https://doi.org/10.1136/practneurol-2016-001581

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    Footnotes

    • Contributors DT wrote the article and obtained consent from the patient, the other authors reviewed and edited the article.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed. This paper was reviewed by Anthony Pereira, London, UK.

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