title: Malignant metastatic carcinoid presenting as brain tumor.
abstract: Carcinoid tumors are rarely known to metastasise to the brain. It is even more rare for such patients to present with symptoms related to metastases as the initial and only symptom. We present a case of a 60-year-old man who presented with hemiparesis and imaging features suggestive of brain tumor. He underwent surgery and the histopathology revealed metastatic malignant lesion of neuroendocrine origin. A subsequent work up for the primary was negative. Patient was treated with adjuvant radiotherapy. We present this case to highlight the pathophysiological features, workup and treatment options of this rare disease and discuss the methods of differentiating it from more common brain tumors.
authors.affiliation: Department of Neurosurgery, SMS Medical College, Jaipur, Rajasthan, India.
authors.forename: I Vijay
authors.initials: IV
authors.lastname: Sundar
authors.affiliation: Department of Neurosurgery, SMS Medical College, Jaipur, Rajasthan, India.
authors.forename: S K
authors.initials: SK
authors.lastname: Jain
authors.affiliation: Department of Neurosurgery, SMS Medical College, Jaipur, Rajasthan, India.
authors.forename: Dhrubajyoti
authors.initials: D
authors.lastname: Kurmi
authors.affiliation: Department of Neurosurgery, SMS Medical College, Jaipur, Rajasthan, India.
authors.forename: Rakesh
authors.initials: R
authors.lastname: Sharma
authors.affiliation: Department of Neurosurgery, SMS Medical College, Jaipur, Rajasthan, India.
authors.forename: Sanjeev
authors.initials: S
authors.lastname: Chopra
authors.affiliation: Department of Pathology, SMS Medical College, Jaipur, Rajasthan, India.
authors.forename: Shashi
authors.initials: S
authors.lastname: Singhvi
keywords: Brain secondaries; hemiparesismetastatic; neuroendocrine tumor; presentation