Document Detail


Colorectal cancer presenting with dysarthria and ataxia: a case of isolated leptomeningeal metastasis.
MedLine Citation:
PMID:  22004622     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
We report the case of a 72-year-old man who presented with weight loss, anorexia and a change in bowel habit. Computed tomography (CT) of the chest, abdomen and pelvis demonstrated widespread thoracic and abdominal lymphadenopathy and a lesion within the splenic flexure. This was confirmed as an adenocarcinoma after a colonoscopic biopsy. A CT guided biopsy of the abdominal lymph node confirmed the adenocarcinoma. Within three days of admission, the patient developed worsening, progressive cerebellar symptoms that left the patient aphasic and bed bound. CT of the head was reported as normal. Magnetic resonance imaging of the head demonstrated widespread leptomeningeal metastases. We describe a case of isolated leptomeningeal metastasis from a colorectal primary tumour.
Authors:
R P Lahiri; K M Burnand; A Bandi; N Farooq; T Sathesh-Kumar
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of the Royal College of Surgeons of England     Volume:  93     ISSN:  1478-7083     ISO Abbreviation:  Ann R Coll Surg Engl     Publication Date:  2011 Oct 
Date Detail:
Created Date:  2011-10-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7506860     Medline TA:  Ann R Coll Surg Engl     Country:  England    
Other Details:
Languages:  eng     Pagination:  133-5     Citation Subset:  IM    
Affiliation:
Department of General Surgery, Norfolk and Norwich University Hospital, Norwich, UK; 11 Pigg Lane, Norwich, Norfolk NR3 1RS, UK. rajlahiri@doctors.org.uk.
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