Cerebral Infarcts Associated with Adenomyosis Among Middle-aged Women

Kazuo Yamashiro, Yamashiro K, Ryota Tanaka, Tanaka R, Kenya Nishioka, Nishioka K, Yuji Ueno, Ueno Y, Shimura H, Hideki Shimura, Okuma Y, Yasuyuki Okuma, Nobutaka Hattori, Takao Urabe, Urabe T
Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2011 · vol. 21(8) , pp. 910.e1–910.e5 · doi:10.1016/j.jstrokecerebrovasdis.2011.10.017 · PMID:22142777 · W2060255021
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This paper investigates the link between cerebral infarcts and adenomyosis in middle-aged women, presenting findings on their association.

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Abstract

Cerebral infarcts associated with hypercoagulability in malignant tumors have been well recognized. However, reports on cerebral infarcts in patients with a benign gynecologic tumor, such as adenomyosis, are extremely limited. We report the cases of 4 patients with adenomyosis and cerebral infarcts, all without obvious evidence of conventional causes of cerebral infarcts. Brain magnetic resonance imaging revealed multiple cerebral infarcts in both cortical and subcortical areas in all the patients and in different arterial territories in 3 patients. Two patients also had systemic embolism in the fingers or kidneys. One patient had thrombi in the brachiocephalic trunk and left subclavian artery. The levels of coagulation markers were elevated in the acute phase of cerebral infarcts. Although cerebral infarcts might be uncommon in adenomyosis patients, these patients might be potentially at risk of developing cerebral infarcts associated with hypercoagulability related to increased mucinous tumor marker levels, menstruation-related coagulopathy, or increased tissue factor expression levels. Additional study is required to determine the mechanism underlying the development of cerebral infarcts in adenomyosis; however, physicians need to pay particular attention to those who have hypercoagulability with adenomyosis among middle-aged women.

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Condition tags

adenomyosis

MeSH descriptors

Adenomyosis Cerebral Infarction Thrombophilia Adenomyosis Adenomyosis Adenomyosis Adenomyosis Adult Biomarkers Biomarkers Blood Coagulation Cerebral Infarction Cerebral Infarction Cerebral Infarction Cerebral Infarction Diffusion Magnetic Resonance Imaging Embolism Embolism Female Fingers

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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Cited by (32)

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