Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Case Report Volume 4 Issue 12

Multiple Myeloma Revealed by a Cerebrovascular Accident: A Case Report

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

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Abstract

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

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References

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  3. Kristinsson SY., et al. “Arterial and venous thrombosis in monoclonal gammopathy of undetermined significance and multiple myeloma: a population‐based study”. Blood24 (2010): 4991-4998.
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Citation

Citation: Maissa Thabet., et al. “Multiple Myeloma Revealed by a Cerebrovascular Accident: A Case Report". Acta Scientific Medical Sciences 4.12 (2020): 83-85.



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