Cystic brain metastases radiologically simulating neurocysticercosis
CONTEXT: Brain metastases are common complications of cancer. Magnetic resonance imaging (MRI), the main diagnostic imaging method in these cases, rarely shows cystic images. CASE REPORT: The patient was a 45-year-old woman who had had severe headache for a month that was refractory to medication, a...
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Format: | Article |
Language: | English |
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Associação Paulista de Medicina
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Series: | São Paulo Medical Journal |
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Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802011000500011&lng=en&tlng=en |
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author | Charlene Troiani Carla Cristina Barbosa Lopes Carlos Antônio Scardovelli Gisele Alborghetti Nai |
author_facet | Charlene Troiani Carla Cristina Barbosa Lopes Carlos Antônio Scardovelli Gisele Alborghetti Nai |
author_sort | Charlene Troiani |
collection | DOAJ |
description | CONTEXT: Brain metastases are common complications of cancer. Magnetic resonance imaging (MRI), the main diagnostic imaging method in these cases, rarely shows cystic images. CASE REPORT: The patient was a 45-year-old woman who had had severe headache for a month that was refractory to medication, and had previously had breast cancer, which had been treated. The MRI showed the criteria for neurocysticercosis. Since there was no improvement with clinical treatment, we chose to excise the lesions. Histopathological analysis showed an epithelioid malignant neoplasm. CONCLUSION: From immunohistochemical analysis, it was concluded that this was a metastasis of breast carcinoma. Even when the MRI is not characteristic of cerebral metastasis, this hypothesis needs to be ruled out in patients with a previous history of cancer. |
first_indexed | 2024-12-13T16:22:28Z |
format | Article |
id | doaj.art-af39c971720e481bbbe0b1037016572c |
institution | Directory Open Access Journal |
issn | 1806-9460 |
language | English |
last_indexed | 2024-12-13T16:22:28Z |
publisher | Associação Paulista de Medicina |
record_format | Article |
series | São Paulo Medical Journal |
spelling | doaj.art-af39c971720e481bbbe0b1037016572c2022-12-21T23:38:41ZengAssociação Paulista de MedicinaSão Paulo Medical Journal1806-9460129535235610.1590/S1516-31802011000500011S1516-31802011000500011Cystic brain metastases radiologically simulating neurocysticercosisCharlene Troiani0Carla Cristina Barbosa Lopes1Carlos Antônio Scardovelli2Gisele Alborghetti Nai3Universidade do Oeste PaulistaHospital Regional de Presidente PrudenteHospital Regional de Presidente PrudenteUniversidade do Oeste PaulistaCONTEXT: Brain metastases are common complications of cancer. Magnetic resonance imaging (MRI), the main diagnostic imaging method in these cases, rarely shows cystic images. CASE REPORT: The patient was a 45-year-old woman who had had severe headache for a month that was refractory to medication, and had previously had breast cancer, which had been treated. The MRI showed the criteria for neurocysticercosis. Since there was no improvement with clinical treatment, we chose to excise the lesions. Histopathological analysis showed an epithelioid malignant neoplasm. CONCLUSION: From immunohistochemical analysis, it was concluded that this was a metastasis of breast carcinoma. Even when the MRI is not characteristic of cerebral metastasis, this hypothesis needs to be ruled out in patients with a previous history of cancer.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802011000500011&lng=en&tlng=enNeoplasm metastasisNeurocysticercosisCysticercusBrain diseasesMagnetic resonance imaging |
spellingShingle | Charlene Troiani Carla Cristina Barbosa Lopes Carlos Antônio Scardovelli Gisele Alborghetti Nai Cystic brain metastases radiologically simulating neurocysticercosis São Paulo Medical Journal Neoplasm metastasis Neurocysticercosis Cysticercus Brain diseases Magnetic resonance imaging |
title | Cystic brain metastases radiologically simulating neurocysticercosis |
title_full | Cystic brain metastases radiologically simulating neurocysticercosis |
title_fullStr | Cystic brain metastases radiologically simulating neurocysticercosis |
title_full_unstemmed | Cystic brain metastases radiologically simulating neurocysticercosis |
title_short | Cystic brain metastases radiologically simulating neurocysticercosis |
title_sort | cystic brain metastases radiologically simulating neurocysticercosis |
topic | Neoplasm metastasis Neurocysticercosis Cysticercus Brain diseases Magnetic resonance imaging |
url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802011000500011&lng=en&tlng=en |
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