Renal cell carcinoma lately metastatic to cerebral parenchyma that causes intracerebral hemorrhage
We present a case with renal cell carcinoma metastatic to cerebral parenchyma. A 72-year-old man was admitted to the emergency service of our hospital with sudden loss of consciousness and left-side hemiplegia. His admission blood pressure was 250/130 mm Hg, his Glasgow coma scale was recorded as 10, and his computed tomography scan of the brain without contrast enhancement showed right frontoparietal intracerebral hematoma with a dimension of 8 cm×6.3 cm×7 cm, surrounded by diffuse parenchymal edema and an 18 mm midline shift, and led to a presumed diagnosis of a hypertensive intracerebral hemorrhage. He was taken to the intensive care unit for conservative treatment. However, on posthemorrhagic day 3, his Glasgow coma scale was recorded as 7 and the control computed tomgrphy scan showed hematoma enlargement. He underwent right frontoparietal craniotomy and hematoma removal on the same day. During surgery, hematoma surrounded by a thick and partially ruptured capsule was detected. His pathologic report was renal cell carcinoma with intracerebral hemorrhage. The retrospective review of his medical history showed that he had undergone a nephrectomy because of renal cell carcinoma 11 years ago. © 2013 Wolters Kluwer Health, Inc. All rights reserved.