A case of cerebral venous thrombosis as the presenting sign of occult prostate cancer.
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.


METHODS
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.
Lee
Sang Soo
SS
Department of Neurology, Chungbuk National University College of Medicine, Cheongju, Korea.
Baek
Shin Hye
SH
Shin
Dong-Ick
DI