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