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Article
June 1981

Cerebral Infarction and Disseminated Intravascular Coagulation With Pheochromocytoma

Author Affiliations

From the Division of Neurology, Department of Medicine, The University of Texas Health Science Center at San Antonio.

Arch Neurol. 1981;38(6):395. doi:10.1001/archneur.1981.00510060097025
Abstract

Disseminated intravascular coagulation (DIC) is a secondary phenomenon in many pathophysiologic states.1 We describe a patient with DIC, cerebral infarction, and hemorrhage secondary to a malignant pheochromocytoma.

REPORT OF A CASE  A 54-year-old woman was transferred to Jackson (Fla) Memorial Hospital, because of a left-sided hemiparesis and gastrointestinal (GI) bleeding.Two months before admission, she was seen at another hospital because of right homonymous hemianopsia and right-sided hemiparesis of sudden onset. The diagnosis of factor VIII deficiency was made; her condition improved after treatment with phytonadione and she was discharged.Two days before admission to Jackson Memorial Hospital, she fell; weakness of the left side was noted. Her blood pressure (BP) was 140/100 mm Hg and the pulse rate was 140 beats per minute. There were numerous ecchymoses of the skin. The patient was stuporous; she had a left-sided hemiplegia and Babinski's sign on both sides.The hemoglobin value

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