Trousseau syndrome with intrahepatic cholangiocarcinoma that could be removed radically after endovascular treatment: Report of a case

• Main Authors: Shuei Murahashi, Yosuke Takeuchi, Shintaro Hayashida, Yuki Ohya, Seigo Shindo, Tadashi Terasaki, Yukihiro Inomata, Yasuyuki Hara
• Format: Article
• Language: English
• Published: Wiley 2020-07-01
• Series: Brain and Behavior
• Subjects: endovascular treatment; intrahepatic cholangiocarcinoma; stroke; trousseau syndrome
• Online Access: https://doi.org/10.1002/brb3.1660

Abstract Background Trousseau syndrome is a poor prognosis. We report a case of Trousseau syndrome treated by radical resection after endovascular treatment. Case A 59‐year‐old woman presented to our department reporting spontaneous dizziness and pain of the upper abdomen. Magnetic resolution imaging (MRI) showed shower embolization of Brain. Contrast‐enhanced computer tomography (CT) showed renal infarction and splenic infarction, and a tumor was observed in the retrohepatic area. On day 9, sudden right side joint prejudice, neglect of left half space, and left hemiplegia were observed. MRI revealed obstruction of the right middle cerebral artery (MCA) perfusion zone. On the same day, endovascular treatment was performed and reperfusion was obtained. We decided on a radical surgery policy because there were a primary lesion and a high risk of new embolism, and no metastasis was seen. Discussion Trousseau syndrome generally has a poor prognosis, but active treatment should be considered as an option when we can expect the recovery of function.