ISSN 1941-5923



American Journal of Case Reports have been selected for the Emerging Sources Citation Index, launching in November of 2015 as a new edition of the Web of Science.  

Clinical case reports are an invaluable first-hand source of... read more

Published: 2015-10-12

Frequent Ischemic Stroke as First Manifestation of Occult Colon Cancer: A Rare Case

Chia-Chan Tsai, Meng-Ni Wu

(Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan)

Am J Case Rep 2015; 16:723-727

DOI: 10.12659/AJCR.895130

BACKGROUND: It is rare that occult cancer presents with frequent ischemic stroke as the sole manifestation.
CASE REPORT: We report the case of a 46-year-old man with frequent stroke in different vascular areas, with diabetes and hypercholesterolemia identified as risk factors. The results of biochemistry, young stroke profiles, trans-cranial and extra-cranial carotid Doppler, and 24-h Holter electrocardiogram were within normal limits. The reports of transthoracic echocardiography (TTE) were unremarkable. Finally, a multi-detector computed tomography (MDCT) demonstrated a thrombus in the posterior-lateral aspect of the left atrium and non-bacterial thrombotic endocarditis (NBTE) was suspected. The results motivated the survey for occult cancer, and adenocarcinoma of the ascending colon was confirmed on colonoscopy pathology.
CONCLUSIONS: We suggest that evaluating the possibility of occult cancer should be emphasized in patients of frequent stroke refractory to therapy, whether risk factors are already identified or not. Furthermore, we assume MDCT can be an alternative way to detect cardiogenic embolic sources in stroke patients.

Keywords: Colonic Neoplasms, Endocarditis, Non-Infective, multidetector computed tomography, Stroke, thromboembolism

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Published: 2015-10-09

Perforated Intestinal Tuberculosis in a Non-AIDS Immunocompromised Patient

Dedrick Kok-Hong Chan, Kuok-Chung Lee

Am J Case Rep 2015; 16:719-722

DOI: 10.12659/AJCR.894723

Published: 2015-10-08

Isolated Medial Rectus Nuclear Palsy as a Rare Presentation of Midbrain Infarction

Mohammed Al-Sofiani, Peterkin Lee Kwen

Am J Case Rep 2015; 16:715-718

DOI: 10.12659/AJCR.893875