eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2021-09-27 9 12 722 724 10.12691/ajmcr-9-12-16 AJMCR202191216 article Hiroyuki Ueno 1 Youichi Yanagawa yyanaga@juntendo.ac.jp 2 Department of Emergency Medicine, Numazu City Hospital, Numazu, Japan Department of Acute Critical Care Medicine, Juntendo Shizuoka Hospital, Izunokuni, Japan An 82-year-old woman was admitted due to disturbance of consciousness. Six months previously, she had been diagnosed with nested variant of urothelial carcinoma. Magnetic resonance imaging showed multiple bilateral small acute cerebral infarctions, corresponding to Trousseau¡¯s syndrome. Best supportive care was chosen and she finally died. This is the sixth case of Trousseau¡¯s syndrome induced by bladder carcinoma and the first case of Trousseau¡¯s syndrome in a patient with nested variant of urothelial carcinoma. This unique case adds one more cause to the list of documented etiologies of Trousseau¡¯s syndrome. http://pubs.sciepub.com/ajmcr/9/12/16/ajmcr-9-12-16.pdf bladder cancer multiple cerebral infarctions Trousseau¡¯s syndrome nested variant of urothelial carcinoma