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Stroke and cancer
Rev Neurol (Paris). 2023 Apr 4:S0035-3787(23)00891-3. doi: 10.1016/j.neurol.2023.03.009. Online ahead of print.ABSTRACTAssociation between stroke and cancer is well-established and has led to a growing literature over the past decades. Risk of ischemic and hemorrhagic stroke is increased among patients with newly diagnosed cancer and 5-10% of stroke patients bear an active cancer. All cancers are concerned, but hematological malignancy in childhood and adenocarcinoma from lung, digestive tract and pancreas in adults are most usually identified. Unique stroke mechanisms are dominated by hypercoagulation, a condition that ma...
Source: Revue Neurologique - April 6, 2023 Category: Neurology Authors: M Zuber Source Type: research

MR Three-Territory Sign in Cancer-Associated Hypercoagulation Stroke (Trousseau Syndrome): An Overlooked Diagnostic Feature: MR Three-Territory Sign
Conclusion: TTS is a frequently missed diagnostic magnetic resonance feature in cancer-associated hypercoagulation stroke and often heralds occult malignancy.
Source: The Neurologist - March 1, 2022 Category: Neurology Tags: Original Articles Source Type: research

Cryptotanshinone Attenuates Oxygen-Glucose Deprivation/ Recovery-Induced Injury in an in vitro Model of Neurovascular Unit
Conclusions Despite the above limitations, we indicate that the protective mechanism of CTs against OGD/R damage might exert via inhibiting neuron apoptosis and attenuating BBB disruption. Furthermore, we also clarified that CTs inhibited neuronal apoptosis possibly by blocking the activation of MAPK signaling pathways, and CTs alleviating BBB disruption may associated with the regulation of TJPs and MMP-9 in our experiment. Accordingly, CTs will represent a novel and potent candidate for the treatment of CIRI in the future. Ethics Statement This study was carried out in accordance with the recommendations of China�...
Source: Frontiers in Neurology - April 17, 2019 Category: Neurology Source Type: research

Cancer-Associated Hypercoagulation Increases the Risk of Early Recurrent Stroke in Patients with Active Cancer
Conclusions: Ischemic stroke patients with active cancer faced a high risk of early recurrent stroke. The concurrence of hDD levels ( ≥10.4 µg/mL) and MVTI was an independent predictor of early recurrent stroke in active cancer patients. Our findings suggest that cancer-associated hypercoagulation increases the early recurrent stroke risk.Cerebrovasc Dis 2018;46:46 –51
Source: Cerebrovascular Diseases - July 31, 2018 Category: Neurology Source Type: research

Risk of Ischemic and Hemorrhagic Strokes in Occult and Manifest Cancers Clinical Sciences
Conclusions—Cancer, occult and manifest, is associated with increased risks for stroke. The increased risk is linked mainly to cancers related to smoking.
Source: Stroke - June 25, 2018 Category: Neurology Authors: Klaus Kaae Andersen, Tom Skyhoȷ Olsen Tags: Epidemiology, Risk Factors, Cerebrovascular Disease/Stroke, Intracranial Hemorrhage, Ischemic Stroke Original Contributions Source Type: research

Multiple Thrombi in the Heart in Trousseau Syndrome Caused by Pancreatic Carcinoma
A 65-year-old woman presented to our emergency room because of sudden onset of right hemiparesis with severe fatigue. Neurological examination revealed right hemiparesis with right facial numbness and an extensor planter response on the right side.Magnetic resonance imaging with diffusion-weighted imaging revealed multiple highintensity areas in both cerebral hemispheres and the right cerebellum. A diagnosis of acute stage of multiple brain infarctions caused by emboli was made. An abdominal computed tomography showed a pancreatic tumor with multiple liver metastases.
Source: Journal of Stroke and Cerebrovascular Diseases - March 1, 2018 Category: Neurology Authors: Sho Takeshita, Toshiyasu Ogata, Hidekazu Mera, Jun Tsugawa, Mikiko Aoki, Morishige Takeshita, Yoshio Tsuboi Tags: Case Studies Source Type: research

Recurrent brain ischaemia and deep vein thrombosis: the clot thickens.
We describe the assessment of this presentation and discuss the causes and management of cancer-related stroke. PMID: 28578318 [PubMed - as supplied by publisher]
Source: Practical Neurology - June 3, 2017 Category: Neurology Authors: Turner D, Scully M, Stone S, Werring DJ Tags: Pract Neurol Source Type: research

Identifying ischemic stroke associated with cancer: a multiple model derived from a case –control analysis
AbstractIschemic stroke in patients with cancer is thought to be associated with a worse prognosis and might be the initial symptom of an unknown malignancy. However, diagnostic algorithms to reliably identify cancer-associated stroke have not been developed. In this retrospective single-centre analysis, 68 patients with ischemic stroke and an active solid malignancy were identified. Neurological assessment and outcome, cardiovascular risk factors, neuroimaging studies as well as laboratory findings were compared to 68 age- and sex-matched control subjects with ischemic stroke without diagnosis of cancer. Lung, pancreatic ...
Source: Journal of Neurology - February 27, 2017 Category: Neurology Source Type: research

New Cancer Diagnosis Linked to Increased Stroke Risk New Cancer Diagnosis Linked to Increased Stroke Risk
A diagnosis of cancer -- particularly lung, pancreatic, or colorectal cancer -- is associated with an increased short-term risk for stroke, a new study suggests. Medscape Medical News
Source: Medscape Neurology and Neurosurgery Headlines - January 9, 2015 Category: Neurology Tags: Neurology & Neurosurgery News Source Type: news

Association between Incident Cancer and Subsequent Stroke
This article is protected by copyright. All rights reserved.
Source: Annals of Neurology - December 1, 2014 Category: Neurology Authors: Babak B. Navi, Anne S. Reiner, Hooman Kamel, Costantino Iadecola, Mitchell S.V. Elkind, Katherine S. Panageas, Lisa M. DeAngelis Tags: Research Article Source Type: research

Risk of recurrent thromboembolic phenomena after ischemic stroke in patients with malignancy
In the 1860s, Trousseau first described the association between cancer and a hypercoagulable state.1 Ironically, he later diagnosed himself with phlebitis and predicted his own death from pancreatic cancer. Secretion of procoagulants by tumor cells, vascular damage secondary to immune response, and iatrogenic injury from chemotherapeutic agents, radiotherapy, and in-dwelling catheters, among other mechanisms, may contribute to hypercoagulability in the setting of cancer.2 This places oncology patients at high risk of cerebrovascular phenomena, which frequently leads to patients' initial diagnosis.3 Despite this well-define...
Source: Neurology - June 30, 2014 Category: Neurology Authors: Starke, R. M. Tags: EDITORIALS Source Type: research