2017 年 11 巻 11 号 p. 575-580
Objective: We report a patient with acute-phase cerebral embolism related to Trousseau’s syndrome (TS) in whom thrombectomy was performed, and white thrombi were captured.
Case Presentation: The patient was a 65-year-old female. Sudden-onset dizziness and progressive consciousness disorder were noted. Diagnostic imaging led to a diagnosis of occlusion of the basilar artery (BA). In the acute phase, thrombectomy was performed, and white thrombi were captured, differing from standard-type embolism. After surgery, the symptoms rapidly reduced, but systemic investigation suggested advanced gastric cancer as an etiologic factor for embolism. Subsequently, embolism recurred, and the patient died of hemorrhagic cerebral infarction 31 days after onset.
Conclusion: If a white thrombus is captured during thrombectomy, TS should be differentiated as an etiologic factor.