title: Cerebral metastasis from heart angiosarcoma presenting as multiple hematomas.
abstract: 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.
authors.affiliation: Department of Neurology, Hippokratio Hospital, PO Box 50408, Thessaloniki 54013, Greece. hippolibrary@in.gr
authors.forename: Charalambos
authors.initials: C
authors.lastname: Liassides
authors.forename: Maria
authors.initials: M
authors.lastname: Katsamaga
authors.forename: Georgia
authors.initials: G
authors.lastname: Deretzi
authors.forename: Vasilios
authors.initials: V
authors.lastname: Koutsimanis
authors.forename: Georgios
authors.initials: G
authors.lastname: Zacharakis
mesh_terms: 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