Cerebral metastasis from heart angiosarcoma presenting as multiple hematomas.
The authors present the case of a 24-year-old woman with cerebral metastasis from a primary heart angiosarcoma, which appeared as multiple cerebral hematomas. Primary or metastatic brain angiosarcomas are exceedingly rare, and only a few cases have been reported with hemorrhage. Initial neurological symptoms were mild hemiparesis with numbness, and chest pain was first misdiagnosed as pericarditis. A computed tomography (CT) scan and magnetic resonance imaging showed 2 hematomas in the left parietal and occipital lobes. A thoracic CT scan revealed angiosarcoma of the right atrium of the heart with multiple infiltrations of the lung. The patient underwent surgical removal and systemic chemotherapy. She died 6 months after surgery.
Liassides
Charalambos
C
Department of Neurology, Hippokratio Hospital, PO Box 50408, Thessaloniki 54013, Greece. hippolibrary@in.gr
Katsamaga
Maria
M
Deretzi
Georgia
G
Koutsimanis
Vasilios
V
Zacharakis
Georgios
G
D000328:Adult; D001921:Brain / Q000000981:diagnostic imaging / Q000473:pathology; D001932:Brain Neoplasms / Q000175:diagnosis / Q000556:secondary*; D002543:Cerebral Hemorrhage / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D006338:Heart Neoplasms / Q000473:pathology*; D006394:Hemangiosarcoma / Q000175:diagnosis / Q000556:secondary*; D006406:Hematoma / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D014057:Tomography, X-Ray Computed