Adenomyosis Accompanied by Multiple Hemorrhagic Cerebral Infarction: A Case Report

被引：0

作者：

Chi, Bin ^{[1
]}

Liu, Meiyan ^{[2
]}

Hou, Pengwei ^{[1
]}

Wu, Jianwu ^{[1
]}

Wang, Shousen ^{[1
]}

机构：

[1] Fujian Med Univ, Fuzhou Hosp 900, Fuzong Clin Med Coll, Neurosurg, Fuzhou, Peoples R China

[2] Fujian Med Univ, Fuzhou Hosp 900, Fuzong Clin Med Coll, Gastroenterol, Fuzhou, Peoples R China

来源：

CUREUS JOURNAL OF MEDICAL SCIENCE | 2024年 / 16卷 / 04期

关键词：

women and health; hemorrhagic transformation; cerebral hemorrhage; cerebral infarction; adenomyosis; TISSUE FACTOR; TRANSFORMATION; ASSOCIATION; THERAPY; TRIGGER; STROKE;

D O I：

10.7759/cureus.59280

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

This study aims to present a case of uterine adenomyosis accompanied by multiple hemorrhagic cerebral infarctions (CIs), summarize therapeutic experiences based on the literature review, and improve the clinical diagnosis and treatment of multiple hemorrhagic CIs. This paper describes a 46 -year -old female with a fouryear history of uterine adenomyosis complicated by multiple hemorrhagic CIs. During treatment, elevated levels of D-dimer, CA -125, and severe anemia were observed. Following internal medicine treatment targeting uterine adenomyosis and hemorrhagic CIs, the cerebral hemorrhage gradually resolved. Women presenting with multiple CIs, particularly hemorrhagic ones, should be evaluated for the presence of gynecological diseases. Treating gynecological conditions may aid in the management of multiple CIs.

引用

页数：6

共 19 条

[1] Systemic thromboembolism including multiple cerebral infarctions with middle cerebral artery occlusion caused by the progression of adenomyosis with benign gynecological tumor: a case report [J].

Aiura, Ryo ;

Nakayama, Sadayoshi ;

Yamaga, Hroo ;

Kato, Yu ;

Fujishima, Hirotake .

BMC NEUROLOGY, 2021, 21 (01)

[2] Recurrent multiple cerebral infarctions related to the progression of adenomyosis: a case report [J].

Aso, Yasuhiro ;

Chikazawa, Ryo ;

Kimura, Yuki ;

Kimura, Noriyuki ;

Matsubara, Etsuro .

BMC NEUROLOGY, 2018, 18

[3] Tissue Factor: An Essential Mediator of Hemostasis and Trigger of Thrombosis [J].

Grover, Steven P. ;

Mackman, Nigel .

ARTERIOSCLEROSIS THROMBOSIS AND VASCULAR BIOLOGY, 2018, 38 (04) :709-725

[4]

Hamann GF, 1999, NERVENARZT, V70, P1116, DOI 10.1007/s001150050549

[5] Dual Antiplatelet Therapy in Acute Transient Ischemic Attack and Minor Stroke [J].

Hankey, Graeme J. .

NEW ENGLAND JOURNAL OF MEDICINE, 2013, 369 (01) :82-83

[6] HEMORRHAGIC CEREBRAL INFARCTION - A PROSPECTIVE-STUDY [J].

HORNIG, CR ;

DORNDORF, W ;

AGNOLI, AL .

STROKE, 1986, 17 (02) :179-185

[7] Association between venous thromboembolism and iron-deficiency anemia: a population-based study [J].

Hung, Shih-Han ;

Lin, Herng-Ching ;

Chung, Shiu-Dong .

BLOOD COAGULATION & FIBRINOLYSIS, 2015, 26 (04) :368-372

[8] Influencing factors of hemorrhagic transformation in non-thrombolysis patients with cerebral infarction [J].

Jiao, Yonggang ;

Li, Guocai ;

Xing, Yilan ;

Nie, Da'ao ;

Liu, Xintong .

CLINICAL NEUROLOGY AND NEUROSURGERY, 2019, 181 :68-72

[9] Hemorrhagic transformation after ischemic stroke in animals and humans [J].

Jickling, Glen C. ;

Liu, DaZhi ;

Stamova, Boryana ;

Ander, Bradley P. ;

Zhan, Xinhua ;

Lu, Aigang ;

Sharp, Frank R. .

JOURNAL OF CEREBRAL BLOOD FLOW AND METABOLISM, 2014, 34 (02) :185-199

[10] High titers of CA-125 may be associated with recurrent ischemic strokes in patients with cancer [J].

Jovin, TG ;

Boosupalli, V ;

Zivkovic, SA ;

Wechsler, LR ;

Gebel, JM .

NEUROLOGY, 2005, 64 (11) :1944-1945

← 1 2 →