title: Neurological deficit as the first manifestation of vesical transitional cell carcinoma.
abstract: Transitional cell carcinoma of urinary bladder (TCCUB) usually presents with hematuria. Cerebral and leptomeningeal metastases as a first manifestation of TCCUB have been occasionally reported in the medical literature. Hence, we report a case of an elderly man who presented with localizing neurological signs and whose magnetic resonance imaging brain showed multifocal cerebral and leptomeningeal lesions suspected to be metastatic deposits. Thorough search for the primary tumor revealed TCCUB.
authors.affiliation: Yash Diagnostic Center, Yash Hospital and Research Center, Moradabad (UP), India. eesharastogi@gmail.com
authors.forename: Rajul
authors.initials: R
authors.lastname: Rastogi
authors.forename: Amrit Kumar
authors.initials: AK
authors.lastname: Singh
authors.forename: U C
authors.initials: UC
authors.lastname: Rastogi
authors.forename: Chander
authors.initials: C
authors.lastname: Mohan
authors.forename: Vaibhav
authors.initials: V
authors.lastname: Rastogi
mesh_terms: D000368:Aged; D001932:Brain Neoplasms / Q000556:secondary*; D002295:Carcinoma, Transitional Cell / Q000000981:diagnostic imaging / Q000556:secondary*; D017809:Fatal Outcome; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008577:Meningeal Neoplasms / Q000556:secondary*; D009422:Nervous System Diseases / Q000209:etiology; D014463:Ultrasonography; D001749:Urinary Bladder Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology*