Trousseau Syndrome with Intrahepatic Cholangiocarcinoma That Could Be Removed Radically After Endovascular Treatment: Report of a Case

Overview

Journal Brain Behav

Specialty Psychology

Date 2020 Jun 8

PMID 32506690

Citations 4

Authors

Shuei Murahashi

Yosuke Takeuchi

Shintaro Hayashida

Yuki Ohya

Seigo Shindo

Tadashi Terasaki

Yukihiro Inomata

Yasuyuki Hara

Affiliations

Soon will be listed here.

Abstract

Background: Trousseau syndrome is a poor prognosis. We report a case of Trousseau syndrome treated by radical resection after endovascular treatment.

Case: A 59-year-old woman presented to our department reporting spontaneous dizziness and pain of the upper abdomen. Magnetic resolution imaging (MRI) showed shower embolization of Brain. Contrast-enhanced computer tomography (CT) showed renal infarction and splenic infarction, and a tumor was observed in the retrohepatic area. On day 9, sudden right side joint prejudice, neglect of left half space, and left hemiplegia were observed. MRI revealed obstruction of the right middle cerebral artery (MCA) perfusion zone. On the same day, endovascular treatment was performed and reperfusion was obtained. We decided on a radical surgery policy because there were a primary lesion and a high risk of new embolism, and no metastasis was seen.

Discussion: Trousseau syndrome generally has a poor prognosis, but active treatment should be considered as an option when we can expect the recovery of function.

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Multiple Thrombectomies for Cerebral and Coronary Artery Occlusion in Trousseau Syndrome.

Sakai S, Tsurusaki Y, Morita T, Miki K, Inoue D, Haga S J Neuroendovasc Ther. 2023; 16(2):116-122.

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Risk assessment and prognostic analysis of patients with splenic infarction in emergency department: a multicenter retrospective study.

Yen C, Wang C, Chen S, Gao S, Lo H, Ng C Sci Rep. 2021; 11(1):21423.

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Trousseau syndrome with intrahepatic cholangiocarcinoma that could be removed radically after endovascular treatment: Report of a case.

Murahashi S, Takeuchi Y, Hayashida S, Ohya Y, Shindo S, Terasaki T Brain Behav. 2020; 10(7):e01660.

PMID: 32506690 PMC: 7375083. DOI: 10.1002/brb3.1660.

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