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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Main Authors: Charlene Troiani, Carla Cristina Barbosa Lopes, Carlos Antônio Scardovelli, Gisele Alborghetti Nai
Format: Article
Language:English
Published: Associação Paulista de Medicina
Series:São Paulo Medical Journal
Subjects:
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.
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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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AT carlacristinabarbosalopes cysticbrainmetastasesradiologicallysimulatingneurocysticercosis
AT carlosantonioscardovelli cysticbrainmetastasesradiologicallysimulatingneurocysticercosis
AT giselealborghettinai cysticbrainmetastasesradiologicallysimulatingneurocysticercosis