Open AccessSuspected brain metastasis from lung cancer mimicking intracerebral hemorrhage
Author(s) -
Rui Ma,
Shao-Kuan Fang,
Shuai Hou,
Xue Wang,
Hongmei Meng
Publication year - 2018
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000010106
Subject(s) - medicine , intracerebral hemorrhage , brain metastasis , differential diagnosis , lung cancer , pathological , metastasis , magnetic resonance imaging , radiology , lung , carcinoma , cancer , pathology , surgery , subarachnoid hemorrhage
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.