Cerebral sinus vein thrombosis as presenting feature of adenocarcinoma of the lung

A 64-year-old woman presented with sudden face asymmetry and constant headache over two weeks and was admitted. She had a history of diabetes, hypertension, and smoking, but no prior admissions. Trace peripheral right facial nerve palsy was the only abnormality discovered on examination, laboratory tests, ECG, and chest X-ray. Cerebral CT angiography revealed right-sided sinus vein thrombosis and a suspected lesion at the right lung apex (Fig. 1). A>70% stenosis of the proximal left internal carotid artery was also seen.
Source: The American Journal of Medicine - Category: General Medicine Authors: Tags: Clinical Communication to the Editor Source Type: research