title: A deceitful stroke, a hidden tumour.
abstract: A 41-year-old woman with malignant left middle cerebral artery infarction underwent an immediate decompressive craniectomy, obtaining good recovery, both clinically and radiologically. However, approximately 6 months after a successful discharge, the patient returned with gradual memory deterioration, dysarthria and progressively worsening headaches. Subsequent CT and MRI of the brain revealed a solid malignancy located in the same region as the extensive infarction. Following this finding, she underwent surgical debulking of the tumour and follow-up radiotherapy, with good progression of symptoms and overall good outcome.
authors.affiliation: Department of Stroke and Neurology, James Paget University Hospital, Norwich, UK.
authors.forename: Carlo
authors.initials: C
authors.lastname: Canepa
authors.affiliation: Department of Stroke, James Paget Hospital, Great Yarmouth, Norfolk, UK.
authors.forename: Aban
authors.initials: A
authors.lastname: Dasgupta
mesh_terms: D000328:Adult; D001932:Brain Neoplasms / Q000175:diagnosis* / Q000601:surgery*; D000077144:Clopidogrel; D056424:Decompressive Craniectomy / Q000379:methods; D057210:Delayed Diagnosis; D005260:Female; D006801:Humans; D020244:Infarction, Middle Cerebral Artery / Q000601:surgery; D008279:Magnetic Resonance Imaging; D011878:Radiotherapy; D013988:Ticlopidine / Q000031:analogs & derivatives* / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed
chemical_list: D000077144:Clopidogrel; D013988:Ticlopidine