Transient ischaemic attack secondary to paraneoplastic erythrocytosis.

Abstract

A 67-year-old woman with a history of hypertension and type 2 diabetes mellitus was admitted to the hospital due to aphasia and left-sided hemiparesis during the past 5 h with resolution of symptoms within 24 h. On admission laboratory analysis showed haemoglobin 19.2 g/dL and haematocrit 55.1%. Cerebral CT scan was also performed on admission revealing periventricular leucoaraiosis. Studies to investigate the cause of erythrocytosis were started and elevated erythropoietin levels were found. In order to investigate a secondary cause of erythrocytosis an abdominal ultrasound was conducted revealing a left renal mass. CT scans of thorax, abdomen and pelvis confirmed renal mass 8 × 8 cm of diameter, suggestive of neoplasm without associated lymphadenopathy or metastases. Radical nephrectomy was performed and a pathological diagnosis demonstrated clear cell renal cell carcinoma and was staged as T2aN0M0.

• Authors: Aldo René Hurtarte Sandoval, Bryan Josué Flores Robles, Robert Francis Andrus, David Alejandro Yaxcal Chon
• Journal: BMJ case reports (BMJ Case Rep) Vol. 2014 (Oct 21 2014) ISSN: 1757-790X [Electronic] England
• PMID: 25336545 (Publication Type: Case Reports, Journal Article)
• Copyright: 2014 BMJ Publishing Group Ltd.

Topics

• Aged
• Carcinoma, Renal Cell (complications, surgery)
• Diagnosis, Differential
• Female
• Humans
• Ischemic Attack, Transient (etiology)
• Kidney Neoplasms (complications, surgery)
• Nephrectomy
• Paraneoplastic Syndromes (complications)
• Polycythemia (complications)
• Treatment Outcome