White Embolus-induced Basilar Artery Occlusion Due to Pulmonary Vein Invasion of a Metastasis of a Malignant Melanoma

An 80-year-old woman presented with impaired consciousness after malignant melanoma resection. Magnetic resonance angiography showed basilar artery occlusion, which was subjected to mechanical thrombectomy for recanalization. A pathological analysis of the retrieved embolus revealed that it was deri...

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Autores principales: Nukata, Ryotaro, Ikeda, Hiroyuki, Akaike, Natsuki, Fujiwara, Toshio, Yamashita, Haruki, Uezato, Minami, Kinosada, Masanori, Kurosaki, Yoshitaka, Shindo, Katsuro, Chin, Masaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10602821/
https://www.ncbi.nlm.nih.gov/pubmed/36823083
http://dx.doi.org/10.2169/internalmedicine.1269-22
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author Nukata, Ryotaro
Ikeda, Hiroyuki
Akaike, Natsuki
Fujiwara, Toshio
Yamashita, Haruki
Uezato, Minami
Kinosada, Masanori
Kurosaki, Yoshitaka
Shindo, Katsuro
Chin, Masaki
author_facet Nukata, Ryotaro
Ikeda, Hiroyuki
Akaike, Natsuki
Fujiwara, Toshio
Yamashita, Haruki
Uezato, Minami
Kinosada, Masanori
Kurosaki, Yoshitaka
Shindo, Katsuro
Chin, Masaki
author_sort Nukata, Ryotaro
collection PubMed
description An 80-year-old woman presented with impaired consciousness after malignant melanoma resection. Magnetic resonance angiography showed basilar artery occlusion, which was subjected to mechanical thrombectomy for recanalization. A pathological analysis of the retrieved embolus revealed that it was derived from a metastasis of malignant melanoma. Contrast-enhanced chest computed tomography showed multiple pulmonary metastases, one of which was in the right upper lobe and invaded the pulmonary vein. To our knowledge, this is the first case of white embolus-induced cerebral embolism due to pulmonary vein invasion of a metastasis of a pathologically diagnosed malignant melanoma.
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spelling pubmed-106028212023-10-28 White Embolus-induced Basilar Artery Occlusion Due to Pulmonary Vein Invasion of a Metastasis of a Malignant Melanoma Nukata, Ryotaro Ikeda, Hiroyuki Akaike, Natsuki Fujiwara, Toshio Yamashita, Haruki Uezato, Minami Kinosada, Masanori Kurosaki, Yoshitaka Shindo, Katsuro Chin, Masaki Intern Med Case Report An 80-year-old woman presented with impaired consciousness after malignant melanoma resection. Magnetic resonance angiography showed basilar artery occlusion, which was subjected to mechanical thrombectomy for recanalization. A pathological analysis of the retrieved embolus revealed that it was derived from a metastasis of malignant melanoma. Contrast-enhanced chest computed tomography showed multiple pulmonary metastases, one of which was in the right upper lobe and invaded the pulmonary vein. To our knowledge, this is the first case of white embolus-induced cerebral embolism due to pulmonary vein invasion of a metastasis of a pathologically diagnosed malignant melanoma. The Japanese Society of Internal Medicine 2023-02-22 2023-10-01 /pmc/articles/PMC10602821/ /pubmed/36823083 http://dx.doi.org/10.2169/internalmedicine.1269-22 Text en Copyright © 2023 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Nukata, Ryotaro
Ikeda, Hiroyuki
Akaike, Natsuki
Fujiwara, Toshio
Yamashita, Haruki
Uezato, Minami
Kinosada, Masanori
Kurosaki, Yoshitaka
Shindo, Katsuro
Chin, Masaki
White Embolus-induced Basilar Artery Occlusion Due to Pulmonary Vein Invasion of a Metastasis of a Malignant Melanoma
title White Embolus-induced Basilar Artery Occlusion Due to Pulmonary Vein Invasion of a Metastasis of a Malignant Melanoma
title_full White Embolus-induced Basilar Artery Occlusion Due to Pulmonary Vein Invasion of a Metastasis of a Malignant Melanoma
title_fullStr White Embolus-induced Basilar Artery Occlusion Due to Pulmonary Vein Invasion of a Metastasis of a Malignant Melanoma
title_full_unstemmed White Embolus-induced Basilar Artery Occlusion Due to Pulmonary Vein Invasion of a Metastasis of a Malignant Melanoma
title_short White Embolus-induced Basilar Artery Occlusion Due to Pulmonary Vein Invasion of a Metastasis of a Malignant Melanoma
title_sort white embolus-induced basilar artery occlusion due to pulmonary vein invasion of a metastasis of a malignant melanoma
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10602821/
https://www.ncbi.nlm.nih.gov/pubmed/36823083
http://dx.doi.org/10.2169/internalmedicine.1269-22
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