Renal cell carcinoma lately metastatic to cerebral parenchyma that causes intracerebral hemorrhage
Küçük Resim Yok
Tarih
2015
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Lippincott Williams and Wilkins
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
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.
Açıklama
Anahtar Kelimeler
intracerebral hemorrhage, metastasis to brain, Renal cell carcinoma
Kaynak
Neurosurgery Quarterly
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
25
Sayı
1
