title: Multiple embolic cerebral infarcts as the first manifestation of metastatic ovarian cancer.
abstract: A 36-year-old woman presented to the emergency department with a 3-day history of an occipital headache associated with transient visual impairment and short-term memory loss. MRI of the brain showed innumerable focal embolic infarcts of differing ages, for which a cause could not be determined. The patient was discharged and readmitted 7 weeks later with acute aphasia and a right-sided hemiplegia. CT of the abdomen revealed a right-sided ovarian mass and prominent retroperitoneal nodes, which cytology confirmed to be metastatic ovarian cancer.
authors.affiliation: Department of Acute Medicine, Institution of Medicine, Dublin, Ireland.
authors.forename: Laura M
authors.initials: LM
authors.lastname: Bond
authors.affiliation: Department of Acute Medicine, Institution of Medicine, Dublin, Ireland.
authors.forename: Darko
authors.initials: D
authors.lastname: Skrobo
mesh_terms: D000328:Adult; D001037:Aphasia / Q000175:diagnosis / Q000209:etiology; D001921:Brain / Q000473:pathology*; D001932:Brain Neoplasms / Q000150:complications / Q000473:pathology / Q000556:secondary*; D000077216:Carcinoma, Ovarian Epithelial; D002544:Cerebral Infarction / Q000175:diagnosis* / Q000209:etiology; D003952:Diagnostic Imaging / Q000379:methods; D005260:Female; D006261:Headache / Q000175:diagnosis / Q000209:etiology; D006429:Hemiplegia / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D020766:Intracranial Embolism / Q000175:diagnosis* / Q000209:etiology; D008569:Memory Disorders / Q000175:diagnosis / Q000209:etiology; D009375:Neoplasms, Glandular and Epithelial / Q000175:diagnosis* / Q000473:pathology; D010051:Ovarian Neoplasms / Q000175:diagnosis* / Q000473:pathology; D012186:Retroperitoneal Neoplasms / Q000556:secondary