{"id":"8e1a607f-a5da-4a5d-85b7-139a7ffc4de5","slug":"adenomyosis-associated-recurrent-acute-cerebral-infarction-mimicking-trousseaus-syndrome-a-case-study-and-review-of-literature","title":"Adenomyosis-associated recurrent acute cerebral infarction mimicking Trousseau’s syndrome: A case study and review of literature","authors":["Nobuhiko Arai","Kazunari Yachi","Ryutaro Ishihara","Takao Fukushima"],"abstract":"Background: Adenomyosis is a common and benign uterine disease. Acute cerebral infarction (CI) associated with adenomyosis is rarely reported and difficult to treat. We experienced successful treatment for this disease. Case Description: A 50-year-old woman presented with a 2-day history of visual disturbance. Magnetic resonance imaging showed multiple tiny diffusion-weighted high-density spots on several lobes. No common risk factors for stroke were detected. Cancer antigen 125 level was 999 U/mL, along with massively expanded uterus and adnexa. Based on the diagnosis of benign adenomyosis, Xa inhibitor and GnRH agonists were administered for CI and adenomyosis, respectively. Acute CI recurred 7 days after admission. We suspected a relationship between infarction and adenomyosis and concluded hysterectomy as a proper treatment strategy based on the literature. Eighteen months after hysterectomy, no recurrence of CI without anti-thrombus medications has been detected. Conclusion: Hysterectomy is a radical therapy that is effective in preventing acute CI due to adenomyosis associated with ischemic symptoms.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/8e1a607f-a5da-4a5d-85b7-139a7ffc4de5/featured/hero-1781561404374.png","publishDate":"2022-04-29T00:00:00.000Z","doi":"10.25259/SNI_252_2022","categories":["Neuroanesthesia and Critical Care","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2022/04/11565/SNI-13-179.pdf"}