Metastatic choriocarcinoma: A rare cause of stroke in the young adult

Authors: Saad; Tang; Sclavos; Stuckey

Source: Australasian Radiology, Volume 50, Number 5, October 2006 , pp. 481-483(3)

Publisher: Blackwell Publishing

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Abstract:

Summary

A 20-year old woman presented with acute right hemiplegia 10 weeks after intrauterine fetal death at 34-weeks gestation (G1P0). A brain MRI showed a typical acute infarct in the left middle cerebral artery territory. A CT pulmonary angiography carried out 1 week later for sudden cardiopulmonary deterioration showed disseminated pulmonary metastases. The CT was extended to the abdomen and pelvis, which showed a uterine mass with bilateral theca lutein cysts. The radiological diagnosis of metastatic choriocarcinoma was made and was subsequently confirmed with the markedly increased serum β-human chorionic gonadotrophin. A serum β-human chorionic gonadotrophin is therefore considered worthwhile in any young female adult who presents with stroke.

Keywords: choriocarcinoma; metastases; magnetic resonance imaging; stroke

Document Type: Research article

DOI: 10.1111/j.1440-1673.2006.01631.x

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