Annals of Clinical and Experimental NeurologyAnnals of Clinical and Experimental NeurologyАнналы клинической и экспериментальной неврологии2075-54732409-2533Eco-Vector80210.54101/ACEN.2021.4.10Clinical analysisКлинический разборResearch ArticlePseudostroke as a manifestation of mediastinal choriocarcinoma in an elderly manПсевдоинсульт как манифестация медиастинальной хорионкарциномы у пожилого мужчиныKornevaYuliya S.КорневаЮлия Сергеевна
Russian Federation

Cand. Sci. (Med.), Associate Professor, Department of pathological anatomy; pathologist, Department of clinical pathology No. 2

к.м.н., доцент каф. патологической анатомии, врач-патологоанатом отделения клинической патологии № 2

miloserdovmax@mail.ruMaslovaNatalya N.МасловаНаталья Николаевна
Russian Federation

D. Sci. (Med.), Professor, Head, Department of neurology and neurosurgery

д.м.н., профессор, зав. каф. неврологии и нейрохирургии

miloserdovmax@mail.ruRudenkoYana A.РуденкоЯна Алексеевна
Russian Federation

resident, Department of pathological anatomy

ординатор кафедры патологической анатомии

miloserdovmax@mail.ruMiloserdovMaxim A.МилосердовМаксим Алексеевич
Russian Federation

Cand. Sci. (Med.), neurologist, assistant, Department of neurology and neurosurgery

к.м.н., врач-невролог, ассистент каф. неврологии

miloserdovmax@mail.ruShisterovaOksana A.ШистероваОксана Александровна
Russian Federation

Cand. Sci. (Med.), Head, Department of pathological anatomy

к.м.н., зав. патологоанатомическим отделением

miloserdovmax@mail.ruSmolensk Regional Institute of PathologyОГБУЗ «Смоленский областной институт патологии»Smolensk State Medical UniversityФГБОУ ВО «Смоленский государственный медицинский университет»Red Cross Emergency HospitalОГБУЗ «Клиническая больница скорой медицинской помощи»Smolensk Oncological DispensaryОГБУЗ «Смоленский областной онкологический диспансер»2312202115493982312202123122021Copyright ©; 2021, Korneva Y.S., Maslova N.N., Rudenko Y.A., Miloserdov M.A., Shisterova O.A.Copyright ©; 2021, Корнева Ю.С., Маслова Н.Н., Руденко Я.А., Милосердов М.А., Шистерова О.А.2021Korneva Y.S., Maslova N.N., Rudenko Y.A., Miloserdov M.A., Shisterova O.A.Корнева Ю.С., Маслова Н.Н., Руденко Я.А., Милосердов М.А., Шистерова О.А.https://creativecommons.org/licenses/by/4.0https://annaly-nevrologii.com/pathID/article/view/802

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.

Представлено описание редкого клинического случая: появления острой неврологической симптоматики по типу псевдоинсульта. Причиной её развития стал дисбаланс мозгового кровотока, вызванный сдавлением внутренней сонной артерии лимфатическим узлом, увеличенным вследствие метастатического поражения из диссеминированной негестационной медиастинальной хорионкарциномы, с декомпенсацией на фоне развития паранеопластической коагулопатии.

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