title: [Clinical onset of brain metastasis: ictus. Report of a case].
abstract: We present a clinical case in which a patient with a brain metastasis had a clinical onset simulating a stroke. Computerized tomography showed a lesion which was diagnosed as ischaemic, whereas magnetic resonance imaging showed an expansive lesion surrounded by an aedematous region of probable neoplastic nature. Indeed histology confirmed the neoplastic origin of the lesion. This kind of presentation is very uncommon but when an hypodense area is detected on CT scan one should always think to this occurrence. Neuroradiology is often necessary for a correct diagnosis. CT scan might usefully be integrated by MRI to distinguish between stroke and brain neoplasty.
authors.affiliation: Unità Operativa di Medicina Interna, Policlinico Mater Domini, Catanzaro.
authors.forename: G
authors.initials: G
authors.lastname: Mancuso
authors.forename: A
authors.initials: A
authors.lastname: Gnasso
authors.forename: G
authors.initials: G
authors.lastname: De Novara
authors.forename: A
authors.initials: A
authors.lastname: Accoti
authors.forename: K
authors.initials: K
authors.lastname: Pardatscher
authors.forename: P L
authors.initials: PL
authors.lastname: Mattioli
authors.forename: A
authors.initials: A
authors.lastname: Pujia
mesh_terms: D000368:Aged; D001932:Brain Neoplasms / Q000150:complications* / Q000556:secondary*; D002561:Cerebrovascular Disorders / Q000209:etiology*; D006801:Humans; D008297:Male
vernacular_title: Esordio clinico di una metastasi cerebrale: ictus. Descrizione di un caso.