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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Multiple Cerebral Infarctions in a Patient with Adenomyosis on Hormone Replacement Therapy: A Case Report
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Multiple Cerebral Infarctions in a Patient with Adenomyosis on Hormone Replacement Therapy: A Case Report

机译:患者患者在激素替代疗法患者中的多发性脑梗死:案例报告

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摘要

A 59-year-old woman was admitted to our hospital because of repeated episodes of bilateral hand weakness. She had a 10-year history of combined estrogenprogestin therapy for menopausal symptoms. Magnetic resonance imaging on admission showed multiple hyperintense lesions in bilateral cerebral and cerebellar cortices on diffusion-weighted imaging. Transesophageal echocardiography showed thrombus formation on the aortic valve and moderate aortic insufficiency. Laboratory test demonstrated elevated CA125 (334.8 U/mL) and D-dimer (7.0 mu g/mL) levels. Trousseau's syndrome (cancer-related hypercoagulation) was considered, but various examinations showed only uterine adenomyosis and no evidence of cancer. Multiple cerebral infarctions were considered to be caused by Trousseau's syndromelike condition associated with uterine adenomyosis. CA125 and coagulation markers should be measured in adenomyosis patients treated with hormone replacement therapy, because a mucinous tumor and coagulation markers may be good markers for the risk of thromboembolism in such patients.
机译:由于双边手弱点反复发作,一名59岁的女子被送往我们的医院。她患有10年的雌激素培养素治疗的历史,用于绝经症状。入学磁共振成像显示在扩散加权成像的双侧脑和小脑皮质中的多个过敏病变。经细胞眼镜超声心动图显示主动脉瓣膜的血栓形成和中度主动脉功能不全。实验室测试证明了Ca125(334.8u / ml)和D-二聚体(7.0μg/ ml)水平升高。考虑了Trouseau的综合征(癌症相关的高凝),但各种检查只显示了子宫腺腺小症,没有癌症的证据。多次脑梗塞被认为是由与子宫腺弥血症相关的Trousseau的综合征病症引起的。 Ca125和凝血标志物应测量用激素替代疗法治疗的腺瘤患者测量,因为粘液肿瘤和凝血标志物可能是这种患者血栓栓塞风险的良好标志物。

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