title: Stroke Caused by Lung Cancer Invading the Left Atrium.
abstract: We describe a 59-year-old stroke patient presented with sudden onset left side weakness and a speech disorder due to a major acute cerebral infarction in the area of the right middle cerebral artery, right posterior cerebral artery, and small infarctions in the area of the left middle and left posterior cerebral artery. For the previous month, the patient had been feeling weak and had no appetite. The patient had not been previously seriously ill. A chest x-ray showed a large mass in the upper zone of the right lung. Chest computed tomography scan and echocardiography were performed and revealed advanced lung cancer invading the left atrium. Spontaneous tumor embolism is a rare cause of stroke and should be considered in the differential diagnosis of stroke in a cancer patient. Also, sometimes stroke can be the first manifestation of advanced cancer.
authors.affiliation: University Department of Neurology, Sisters of Charity (Sestre Milosrdnice) Clinical Hospital Centre, Zagreb, Croatia.
authors.forename: Ana
authors.initials: A
authors.lastname: Dimitrović
authors.affiliation: University Department of Neurology, Sisters of Charity (Sestre Milosrdnice) Clinical Hospital Centre, Zagreb, Croatia. Electronic address: tomislav.breitenfeld@zg.t-com.hr.
authors.forename: Tomislav
authors.initials: T
authors.lastname: Breitenfeld
authors.affiliation: University Department of Neurology, Sisters of Charity (Sestre Milosrdnice) Clinical Hospital Centre, Zagreb, Croatia.
authors.forename: Višnja
authors.initials: V
authors.lastname: Supanc
authors.affiliation: University Department of Neurology, Sisters of Charity (Sestre Milosrdnice) Clinical Hospital Centre, Zagreb, Croatia.
authors.forename: Marina
authors.initials: M
authors.lastname: Roje-Bedeković
authors.affiliation: Faculty of Medicine, University of Osijek, Osijek, Croatia.
authors.forename: Silva
authors.initials: S
authors.lastname: Butković Soldo
authors.affiliation: University Department of Neurology, Sisters of Charity (Sestre Milosrdnice) Clinical Hospital Centre, Zagreb, Croatia.
authors.forename: Vesna
authors.initials: V
authors.lastname: Vargek-Solter
mesh_terms: D018450:Disease Progression; D004452:Echocardiography; D017809:Fatal Outcome; D006325:Heart Atria / Q000000981:diagnostic imaging / Q000473:pathology*; D006801:Humans; D020766:Intracranial Embolism / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D008175:Lung Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009360:Neoplastic Cells, Circulating / Q000473:pathology*; D020521:Stroke / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D014057:Tomography, X-Ray Computed
keywords: Stroke; advanced lung cancer; rare causes of stroke, the first cancer manifestations; tumor embolism