Cerebral Infarction associated with mucin-producing benign t
Cerebral infarction associated with a malignant tumor is widely recognized as Trousseau syndrome. In contrast, few cases of cerebral infarction associated with benign tumors have been reported. Published in the journal BMC Neurology, the authors present two cases of embolic stroke that seemed to be caused by mucin-producing adenomyosis.

The patients were women aged 42 and 50 years old. Both patients developed right hemiparesis and aphasia, and cerebral infarctions were detected in the left cerebral hemisphere.

There were no other abnormal findings, except for elevation of CA125 and D-dimer. Trousseau syndrome was suspected in both cases, but whole body examinations did not reveal any malignant tumors. However, uterine adenomyosis was detected in both patients.

Learning Points:-
• These cases suggest that cerebral infarction might develop in patients with a benign mucin-producing tumor, in addition to cases with a malignant tumor.

• Cerebral embolism in patients with adenomyosis is not common, but these patients may develop cerebral infarction due to hypercoagulability and elevated CA125.

• Therefore, the authots suggest inclusion of adenomyosis as a differential diagnosis in embolic stroke of an undetermined origin in middle-aged women.

Read about the cases in detail here: https://pxmd.co/k9cVe
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