Cerebrovascular disease in the patient with cancer

A. Arboix [REV NEUROL 2000;31:1250-1252] PMID: 12497509 DOI: https://doi.org/10.33588/rn.3112.2000092

OPEN ACCESS

Volumen 31 | Number 12 | Nº of views of the article 28.783 | Nº of PDF downloads 565 | Article publication date 16/12/2000

Download PDF Castellano Citation Search in PubMed

Share in:

Go to another issue

ABSTRACT

OBJECTIVE. To make an up-to-date review of the literature on cerebrovascular disease of the patient with cancer. DEVELOPMENT. Approximately 15% of the patients with cancer have cerebrovascular disease. The frequency of cerebral infarcts is similar to that of cerebral hemorrhage. The commonest mechanisms of cerebral ischemia are atherosclerosis, non-bacterial thrombotic endocarditis, disseminated intravascular coagulation, infection, tumour embolism and thrombosis of the longitudinal venous sinuses. The most usual mechanisms of cerebral hemorrhage are intratumoural hemorrhage, hypertensive hemorrhage and the coagulopathies. In the Stroke Register of the Hospital del Sagrat Cor in Barcelona, of a total of 1,099 patients with their first cerebrovascular episode, in 14 patients the stroke (12 infarcts and two intracerebral hemorrhages) were the form of onset of a previously unrecognised hematological disorder. The hematological neoplasias were the commonest form of hematological disorders, mainly essential thrombocytemia, which was diagnosed in six patients.

CONCLUSIONS The clinical management and care of patients with stroke and cancer differ from that of patients with stroke alone, since the cause is different from that of non-neoplastic patients. KeywordsCancer Cerebrovascular disease Essential thrombocytemia Hematological diseases Stroke Register CategoriesCáncer y tumores Patología vascular

FULL TEXT (solo disponible en lengua castellana / Only available in Spanish)

Acceso directo al último número

Último Podcast

Cerebrovascular disease in the patient with cancer