A Case of Trousseau Syndrome: A Report Detailing Recurrent Ischaemic Strokes Associated With Metastatic Pancreatic Cancer and Pulmonary Embolisms Despite Treatment With Direct Oral Anticoagulation

Figures

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  Figure 1. CT head showing acute infarct of the left parietal lobe. The arrow indicates the area of hypodensity indicative of an acute stroke. Axial non-contrast CT image showing an area of hypodensity in the left parietal lobe, consistent with an acute ischaemic infarct in the middle cerebral artery territory. (Image obtained from the hospital PACS system with patient consent.) The arrow indicates the area of hypodensity indicative of an acute stroke. PACS: Primary Agricultural Credit Societies

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  Figure 2. Computed Tomography of the abdomen and pelvis showing primary pancreatic malignancy with liver metastasis. Axial contrast-enhanced CT image showing a pancreatic mass with associated hepatic metastases. (Image obtained from the hospital PACS system with patient consent.) Arrows indicate liver metastases and pancreatic malignancy.

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  Figure 3. CT head with contrast showing new bilateral parietal, left parieto-occipital and right frontal lobes infarcts. Axial non-contrast CT image demonstrating new areas of hypodensity involving the bilateral parietal, left parieto-occipital, and right frontal lobes, consistent with recent multifocal ischaemic infarcts. (Image obtained from the hospital PACS system with patient consent.) Arrows indicate multiple areas of hypodensity, indicating acute infarcts.

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  Figure 4. MRI with contrast showing multiple zones of acute ischaemia in the cerebral and cerebellar hemispheres bilaterally. Axial MRI brain with contrast showing multifocal acute ischaemic changes involving both cerebral and cerebellar hemispheres, most pronounced in the posterior watershed territories. (Image obtained from the hospital PACS system with patient consent.) Arrows indicate areas of hyperdensity, confirming multiple acute ischaemic infarcts.