Book contents
- Uncommon Causes of Stroke
- Uncommon Causes of Stroke
- Copyright page
- Contents
- List of Contributors
- Preface
- PART I: INFECTIOUS AND INFLAMMATORY CONDITIONS
- PART II: HEREDITARY AND GENETIC CONDITIONS AND MALFORMATIONS
- PART III: VASCULAR CONDITIONS OF THE EYES, EARS, AND BRAIN
- PART IV: DISORDERS INVOLVING ABNORMAL COAGULATION
- PART V: SYSTEMIC DISORDERS THAT ALSO INVOLVE THE CEREBROVASCULAR SYSTEM
- 43 MICROSCOPIC POLYANGIITIS AND POLYARTERITIS NODOSA
- 44 CHURG-STRAUSS SYNDROME
- 45 SYSTEMIC LUPUS ERYTHEMATOSUS
- 46 RHEUMATOID ARTHRITIS AND CEREBROVASCULAR DISEASE
- 47 HYPERVISCOSITY AND STROKE
- 48 CALCIUM, HYPERCALCEMIA, MAGNESIUM, AND BRAIN ISCHEMIA
- 49 STROKE AND SUBSTANCE ABUSE
- 50 CANCER AND PARANEOPLASTIC STROKES
- 51 KOHLMEIER-DEGOS’ DISEASE (MALIGNANT ATROPHIC PAPULOSIS)
- 52 STROKE IN PATIENTS WHO HAVE INFLAMMATORY BOWEL DISEASE
- 53 SWEET’S SYNDROME (ACUTE FEBRILE NEUTROPHILIC DERMATOSIS)
- 54 NEPHROTIC SYNDROME AND OTHER RENAL DISEASES AND STROKE
- 55 EPIDERMAL NEVUS SYNDROME
- 56 SNEDDON’S SYNDROME
- 57 MITOCHONDRIAL AND METABOLIC CAUSES OF STROKE
- 58 BONE DISORDERS AND CEREBROVASCULAR DISEASES
- 59 SCLERODERMA
- PART VI: NONINFLAMMATORY DISORDERS OF THE ARTERIAL WALL
- PART VII: VENOUS OCCLUSIVE CONDITIONS
- PART VIII: VASOSPASTIC CONDITIONS AND OTHER MISCELLANEOUS VASCULOPATHIES
- PART IX: OTHER MISCELLANEOUS CONDITIONS
- Index
50 - CANCER AND PARANEOPLASTIC STROKES
from PART V: - SYSTEMIC DISORDERS THAT ALSO INVOLVE THE CEREBROVASCULAR SYSTEM
Published online by Cambridge University Press: 06 January 2010
Book contents
- Uncommon Causes of Stroke
- Uncommon Causes of Stroke
- Copyright page
- Contents
- List of Contributors
- Preface
- PART I: INFECTIOUS AND INFLAMMATORY CONDITIONS
- PART II: HEREDITARY AND GENETIC CONDITIONS AND MALFORMATIONS
- PART III: VASCULAR CONDITIONS OF THE EYES, EARS, AND BRAIN
- PART IV: DISORDERS INVOLVING ABNORMAL COAGULATION
- PART V: SYSTEMIC DISORDERS THAT ALSO INVOLVE THE CEREBROVASCULAR SYSTEM
- 43 MICROSCOPIC POLYANGIITIS AND POLYARTERITIS NODOSA
- 44 CHURG-STRAUSS SYNDROME
- 45 SYSTEMIC LUPUS ERYTHEMATOSUS
- 46 RHEUMATOID ARTHRITIS AND CEREBROVASCULAR DISEASE
- 47 HYPERVISCOSITY AND STROKE
- 48 CALCIUM, HYPERCALCEMIA, MAGNESIUM, AND BRAIN ISCHEMIA
- 49 STROKE AND SUBSTANCE ABUSE
- 50 CANCER AND PARANEOPLASTIC STROKES
- 51 KOHLMEIER-DEGOS’ DISEASE (MALIGNANT ATROPHIC PAPULOSIS)
- 52 STROKE IN PATIENTS WHO HAVE INFLAMMATORY BOWEL DISEASE
- 53 SWEET’S SYNDROME (ACUTE FEBRILE NEUTROPHILIC DERMATOSIS)
- 54 NEPHROTIC SYNDROME AND OTHER RENAL DISEASES AND STROKE
- 55 EPIDERMAL NEVUS SYNDROME
- 56 SNEDDON’S SYNDROME
- 57 MITOCHONDRIAL AND METABOLIC CAUSES OF STROKE
- 58 BONE DISORDERS AND CEREBROVASCULAR DISEASES
- 59 SCLERODERMA
- PART VI: NONINFLAMMATORY DISORDERS OF THE ARTERIAL WALL
- PART VII: VENOUS OCCLUSIVE CONDITIONS
- PART VIII: VASOSPASTIC CONDITIONS AND OTHER MISCELLANEOUS VASCULOPATHIES
- PART IX: OTHER MISCELLANEOUS CONDITIONS
- Index
Summary
Paraneoplastic strokes show a clinical picture different from those observed in stroke patients without cancer. Diffuse and progressive encephalopathy, either isolated or accompanied by focal neurological manifestations, is usual in disseminated intravascular coagulation, nonbacterial thrombotic endocarditis, and paraneoplastic vasculitis. The clinical presentation of paraneoplastic cerebral venous thrombosis includes severe, diffuse, and progressive headache due to intracranial hypertension, partial or generalized seizures, transient ischemia or cerebral infarct of venous origin, and progressive ischemic encephalopathy. The diagnostic process for paraneoplastic strokes is different from standard procedures for other types of stroke. Cerebral computed tomography (CT) and magnetic resonance imaging (MRI) can be normal in ischemic events caused by disseminated intravascular coagulation, or may show multiple images in several vascular territories in nonbacterial thrombotic endocarditis and vasculitis. Heparin may be effective in preventing cerebral infarction among patients with nonbacterial thrombotic endocarditis and does not increase the risk of hemorrhagic complications.
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- Uncommon Causes of Stroke , pp. 371 - 376Publisher: Cambridge University PressPrint publication year: 2008
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