The Etiology of Acute Stroke with Experience of Repeated Upper Extremity Deep Vein Thrombosis

Chang Ju Lee, Dong Kun Lee, Min A Lee, Byoung Wook Hwang, Ju Hye Kim, Hyeo Seo Moon, S. Lim, S. Ahn
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Abstract

In stroke patients, upper extremity deep vein thrombosis (UEDVT) is uncommon compared with lower extremity. Unlike the blood stasis in lower extremity, UEDVT has been developed by secondary cause. We reported a case of stroke patient with repeated UEDVT, presenting superficial venous congestion, who was finally diagnosed with pulmonary adenocarcinoma. The cause of stroke was non-bacterial thromboembolism formed at the mitral valve. Our case shows that unexpected UEDVT should be closely evaluated for higher coagulable status such as a malignancy.
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反复上肢深静脉血栓形成的急性脑卒中病因学分析
在脑卒中患者中,上肢深静脉血栓(UEDVT)与下肢相比并不常见。与下肢血瘀不同,UEDVT是由继发原因引起的。我们报告了一例卒中患者反复出现UEDVT,表现为浅静脉充血,最终被诊断为肺腺癌。中风的原因是在二尖瓣形成的非细菌性血栓栓塞。我们的病例表明,意外的UEDVT应密切评估高凝状态,如恶性肿瘤。
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