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Suspected brain metastasis from lung cancer mimicking intracerebral hemorrhage: A case report

RATIONALE: Hemorrhage rarely occurs in a solitary brain metastasis from lung carcinoma. PATIENT CONCERNS: We report on a 54-year-old man who presented with a severe headache for 4 days. DIAGNOSES: Based on computed tomography and magnetic resonance imaging enhancement, the patient was diagnosed with...

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Detalles Bibliográficos
Autores principales: Ma, Rui, Fang, Shao-Kuan, Hou, Shuai, Wang, Xue, Meng, Hong-Mei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5882458/
https://www.ncbi.nlm.nih.gov/pubmed/29517687
http://dx.doi.org/10.1097/MD.0000000000010106
Descripción
Sumario:RATIONALE: Hemorrhage rarely occurs in a solitary brain metastasis from lung carcinoma. PATIENT CONCERNS: We report on a 54-year-old man who presented with a severe headache for 4 days. DIAGNOSES: Based on computed tomography and magnetic resonance imaging enhancement, the patient was diagnosed with a suspected hemorrhagic brain metastasis from lung carcinoma. INTERVENTIONS: The patient's family rejected a pathological examination. OUTCOMES: The patient's family requested discharge after diagnosis. LESSONS: The present case emphasizes the need to consider hemorrhagic metastasis as a differential diagnosis in patients presenting with solitary intracerebral hemorrhage whose location is uncommon, especially when the poor general state of the patient cannot be attributed to hypertensive intracerebral hemorrhage.