Sondess Arfa1, Maissa Thabet1*, Wiem Romdhane2, Samia Younes3, Olfa Berriche1
1Internal Medicine Department, University Hospital Tahar Sfar, Mahdia, Tunisia
22Internal Medicine Department, University Hospital Sahloul, Sousse, Tunisia
3Neurology department, University Hospital Tahar Sfar, Mahdia, Tunisia
*Corresponding Author: Maissa Thabet, Internal Medicine Department, University Hospital Tahar Sfar, Mahdia, Tunisia.
Received: September 29, 2020; Published: November 27, 2020
Introduction: Venous thromboembolic disease is reported to be frequent among MM. However, stroke is rarely reported in this population. We reported a case of MM diagnosed in a 68-year-old admitted with a stroke.
Case Report: A 70-year-old, with a history of high blood pressure, presented with right hemiparesis associated with speech impairment. Neurological examination revealed right hemiparesis, right facial paralysis and Broca aphasia. The brain CT showed a stroke in the left middle cerebral artery (MCA) territory. The protein immunoelectrophoresis revealed an IgA Kappa type gammapathy (Figure 2). The bone assessment was free of abnormalities. The sternal puncture showed spinal cord infiltration by 13% dystrophic plasmocytes. The diagnosis of multiple myeloma at stage II A was retained and the patient was treated by the association Prednisone-Melphalan.
Conclusion: We reported a rare case of cerebral vascular accident revealing the diagnosis of multiple myeloma
Keywords: Multiple Myeloma; Stroke; Broca Aphasia
Citation: Maissa Thabet., et al. “Multiple Myeloma Revealed by a Cerebrovascular Accident: A Case Report". Acta Scientific Medical Sciences 4.12 (2020): 83-85.
Copyright: © 2020 Maissa Thabet., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.