Annals of Clinical and Experimental NeurologyAnnals of Clinical and Experimental Neurology2075-54732409-2533Research Center of Neurology80210.54101/ACEN.2021.4.10Research ArticlePseudostroke as a manifestation of mediastinal choriocarcinoma in an elderly manKornevaYuliya S.<p>Cand. Sci. (Med.), Associate Professor, Department of pathological anatomy; pathologist, Department of clinical pathology No. 2</p>miloserdovmax@mail.ruMaslovaNatalya N.<p>D. Sci. (Med.), Professor, Head, Department of neurology and neurosurgery</p>miloserdovmax@mail.ruRudenkoYana A.<p>resident, Department of pathological anatomy</p>miloserdovmax@mail.ruMiloserdovMaxim A.<p>Cand. Sci. (Med.), neurologist, assistant, Department of neurology and neurosurgery</p>miloserdovmax@mail.ruShisterovaOksana A.<p>Cand. Sci. (Med.), Head, Department of pathological anatomy</p>miloserdovmax@mail.ruSmolensk Regional Institute of PathologySmolensk State Medical UniversityRed Cross Emergency HospitalSmolensk Oncological Dispensary2312202115493982312202123122021Copyright © 2021, Korneva Y.S., Maslova N.N., Rudenko Y.A., Miloserdov M.A., Shisterova O.A.2021<p>We describe a rare clinical case: onset of acute neurological symptoms suggestive of a pesudostroke, caused by an imbalance in cerebral blood flow as a result of internal carotid artery compression by an enlarged lymph node secondary to metastases from a disseminated non-gestational mediastinal choriocarcinoma. This was accompanied by decompensation due to paraneoplastic coagulopathy.</p>mediastinal choriocarcinomaneurological symptomsstrokeмедиастинальная хорионкарциноманеврологическая симптоматикаинсульт[Dardiotis E., Aloizou A.M., Markoula S. et al. Cancer-associated stroke: pathophysiology, detection and management (Review). 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