Clinical onset of brain metastasis: ictus. Report of a case
Mancuso, G.; Gnasso, A.; De Novara, G.; Accoti, A.; Pardatscher, K.; Mattioli, P.L.; Pujia, A.
Recenti Progressi in Medicina 87(9): 425-427
1996
ISSN/ISBN: 0034-1193 PMID: 9053958 Document Number: 455891
We present a clinical case in which a patient with a brain metastasis had a clinical onset simulating a stroke. Computerized tomography showed a lesion which was diagnosed as ischaemic, whereas magnetic resonance imaging showed an expansive lesion surrounded by an aedematous region of probable neoplastic nature. Indeed histology confirmed the neoplastic origin of the lesion. This kind of presentation is very uncommon but when an hypodense area is detected on CT scan one should always think to this occurrence. Neuroradiology is often necessary for a correct diagnosis. CT scan might usefully be integrated by MRI to distinguish between stroke and brain neoplasty.