3 cases of Trousseau’s syndrome on home-care

Abstract

　We report 2 patients with ischemic stroke from Trousseau’s syndrome during home-care, and 1 patient who started to receive home-care after 2 ischemic strokes from Trousseau’s syndrome.

Case 1 : A 38-year-old woman with lung adenocarcinoma had an ischemic stroke at home, and was transported to the hospital. Intravascular therapy and heparin infusion was done. She died of cancer at the hospital.

Case 2 : A 62-year-old man with renal pelvis carcinoma had an ischemic stroke at home, and was transported to the hospital. Heparin infusion was done, and he came back to his home. He died at home.

Case 3 : A 58-year-old woman had multiple ischemic strokes 2 years ago, and was diagnosed with ovarian cancer. Home-care was started after the recurrence of ischemic strokes. Gastrointestinal bleeding, the third and forth ischemic strokes, and convulsion were managed at home. After 3 months, she died at home.

　Even if the prognosis of cancer itself is short, it is necessary to react to a new stroke immediately, for better QOL by preventing recurrence of strokes and managing complications as possible.