Recurrent paraneoplastic cerebral hemorrhage in lung cancer: A case report

• Published in: Brain circulation Vol. 9; no. 2; pp. 99 - 102
• Main Authors: Alessiani, Michele, Bonura, Adriano, Iaccarino, Gianmarco, Mangiardi, Marilena, Pezzella, Francesca, Bravi, Maria, Crupi, Domenica, Galluzzo, Michele, Anticoli, Sabrina
• Format: Journal Article
• Language: English
• Published: India Wolters Kluwer India Pvt. Ltd 01-04-2023; Medknow Publications and Media Pvt. Ltd; Medknow Publications & Media Pvt. Ltd; Wolters Kluwer - Medknow
• Subjects: Anticoagulants (Medicine); Atrial fibrillation; Brain; Care and treatment; Case Report; Case reports; Diagnosis; Health aspects; Heart; Hemorrhage; Lung cancer; Anticoagulation; cancer; neoplasm; intracerebral hemorrhages; hemorrhage; prosthetic valve
• ISSN: 2394-8108; 2455-4626
• DOI: 10.4103/bc.bc_78_22

Cerebral hemorrhage management in a patient requiring anticoagulant therapy is a therapeutic challenge also due to the absence of guidelines that convincingly define the best therapeutic strategy. Although the occurrence of cerebral hemorrhage in a patient with anticoagulant therapy seems to make the bleeding etiology obvious, sometimes, it is better to reflect on other possible causes and set up an adequate diagnostic workup. Herein, we describe a case of a 73-year-old male patient with atrial fibrillation, mechanical heart valve, and pacemaker that experienced an ischemic minor stroke during steady anticoagulation therapy with recurrent intracerebral haemorrhages (ICHs).