Multiple recurrent ischaemic strokes in a patient with cancer: is there a role for the initiation of anticoagulation therapy for secondary stroke prevention?

Figures

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  Figure 1. Non-contrast abdominal MRI showing a mass on the left liver lobe (arrow) as a typical hypointense lesion on a T1-weighted image (A). Non-contrast chest CT showing discrete multiple bilateral lung nodules at the time of diagnosis (B; arrowheads).

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  Figure 2. Hospital day 1, brain MRI showed bilateral middle cerebral artery strokes (A,B) and left posterior inferior cerebellar artery strokes (C,D: ADC, apparent diffusion coefficient; DWI, diffusion weighted imaging.

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  Figure 3. Hospital day 2, brain MRI showed small newly developed strokes in the right parasagittal frontal lobe. ADC, apparent diffusion coefficients; DWI, diffusion weighted imaging.

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  Figure 4. Hospital day 5, brain MRI showed two foci of new ischaemia within the body of the corpus and right cingulate gyrus, as well as the superior aspect of the right cerebellar hemisphere. DWI= diffusion weighted imaging; ADC= apparent diffusion coefficient.

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  Figure 5. Contrast chest CT and pulmonary embolism protocol showing disease burden and significant progression of the multiple bilateral lung metastasis (A) and filling defect consistent with pulmonary embolism in the right lower lobe pulmonary artery (B).