A Case of Cerebral Venous Thrombosis as the Presenting Sign of Occult Prostate Cancer.

Author: Sang Soo LEE ¹ ; Shin Hye BAEK ; Dong Ick SHIN
Author Information

1. Department of Neurology, Chungbuk National University College of Medicine, Cheongju, Korea. sslee@chungbuk.ac.kr
Publication Type:Case Report
Keywords: cerebral venous thrombosis; D-dimer; prostate cancer
MeSH: Aged; Brain; Fibrin Fibrinogen Degradation Products; Humans; Magnetic Resonance Spectroscopy; Phlebography; Prostate; Prostatic Neoplasms; Venous Thrombosis
From:Journal of Clinical Neurology 2009;5(4):195-197
CountryRepublic of Korea
Language:English
Abstract: BACKGROUND: Cerebral venous thrombosis (CVT) is a distinct disorder with highly variable symptoms and courses. Malignancy is known to be one of the predisposing factors of CVT. CASE REPORT: We present the case of a 69-year-old man with sudden behavioral changes. Brain MRI, magnetic resonance venography, and positive D-dimer assay confirmed the presence of CVT. The work-up for detecting the cause of the CVT revealed occult prostate cancer. CONCLUSIONS: Occult malignancy including prostate cancer should be strongly suspected in older patients with idiopathic CVT.