Acute embolic infarcts of bilateral cerebellar lobes, cerebral peduncles, thalami and left parietal lobe cortex following HIPEC surgery

BMJ Case Rep. 2025 Jan 7;18(1):e260742. doi: 10.1136/bcr-2024-260742.

Abstract

Cytoreductive surgery and intraoperative, intraperitoneal hyperthermic chemoperfusion (hyperthermic intraperitoneal intraoperative chemotherapy) are commonly used for the management of peritoneal surface metastases. We describe a case of acute embolic infarcts in bilateral cerebellar lobes, cerebral peduncles, thalamus and left parietal lobe cortex in a postmenopausal woman in her 50s diagnosed with bilateral ovarian mucinous adenocarcinoma with peritoneal metastasis under general anaesthesia.

Keywords: Brain stem / cerebellum; Cancer intervention; Surgical oncology.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma, Mucinous / therapy
  • Cerebellum / blood supply
  • Cerebellum / diagnostic imaging
  • Cerebellum / pathology
  • Cytoreduction Surgical Procedures
  • Embolic Stroke / etiology
  • Female
  • Humans
  • Hyperthermic Intraperitoneal Chemotherapy
  • Middle Aged
  • Ovarian Neoplasms / therapy
  • Parietal Lobe* / diagnostic imaging
  • Peritoneal Neoplasms / secondary
  • Peritoneal Neoplasms / therapy
  • Thalamus / blood supply
  • Thalamus / diagnostic imaging
  • Thalamus / pathology