Recurrent Cerebral Infarction Due to Benign Uterine Myoma

J Stroke Cerebrovasc Dis. 2019 Jan;28(1):e1-e2. doi: 10.1016/j.jstrokecerebrovasdis.2018.09.034. Epub 2018 Oct 23.

Abstract

The hypercoagulable state in patients with cancer has been shown to be closely associated with ischemic stroke. However, it is unlikely that benign tumors are related to stroke. The development of benign uterine tumors is common in middle-aged women. Previous studies have shown cases of ischemic stroke with benign uterine tumor, but the causal relationship between these 2 remain unknown. We report a case of recurrent ischemic stroke in a middle-aged woman who had a benign uterine tumor. After excision, there was no recurrence for 2 years. Microemboli detection, clinical course and histological findings support a relationship between uterine tumor and ischemic stroke.

Keywords: Recurrent stroke; microemboli; transcranial Doppler; uterine myoma.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Brain Ischemia / diagnostic imaging
  • Brain Ischemia / etiology*
  • Female
  • Humans
  • Leiomyoma / complications*
  • Leiomyoma / pathology
  • Leiomyoma / surgery
  • Recurrence
  • Stroke / diagnostic imaging
  • Stroke / etiology*
  • Uterine Neoplasms / complications*
  • Uterine Neoplasms / pathology
  • Uterine Neoplasms / surgery