title: Pseudo-stroke manifestation of multiple myeloma: a report of two cases with literature review.
abstract: Multiple myeloma rarely presents with neurological symptoms. We describe two patients with pseudo-stroke manifestation of multiple myeloma. The first patient was a 60-year-old female with the initial presentation of multiple myeloma forming a large skull tumour compressing the brain with resultant symptoms of aphasia, limited logical contact and right upper extremity paresis. The second patient was a 69-year-old female who presented with a partial motor epileptic seizure involving both right limbs with persisting weakness of muscles and speech disturbances due to a skull tumour 4 years after the diagnosis of multiple myeloma. Pseudo-stroke manifestation of multiple myeloma is extremely uncommon, however it can sometimes be observed both as an initial presentation and in the course of long-lasting disease.
authors.affiliation: Department of Pathology, Medical University of Gdansk, Gdansk, Poland. czapiewskipiotr@gumed.edu.pl
authors.forename: Piotr
authors.initials: P
authors.lastname: Czapiewski
authors.forename: Tomasz
authors.initials: T
authors.lastname: Szmuda
authors.forename: Jarosław
authors.initials: J
authors.lastname: Dzierżanowski
authors.forename: Paweł
authors.initials: P
authors.lastname: Słoniewski
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Sworczak
authors.forename: Maria
authors.initials: M
authors.lastname: Gnacińska
authors.forename: Mirosława
authors.initials: M
authors.lastname: Dubaniewicz-Wybieralska
authors.forename: Andrzej
authors.initials: A
authors.lastname: Hellmann
authors.forename: Wojciech
authors.initials: W
authors.lastname: Biernat
mesh_terms: D000368:Aged; D001932:Brain Neoplasms / Q000150:complications*; D005260:Female; D006801:Humans; D008875:Middle Aged; D009101:Multiple Myeloma / Q000150:complications*; D018908:Muscle Weakness / Q000209:etiology; D013064:Speech Disorders / Q000209:etiology