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KMID : 1104820150030020113
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Journal of Digestive Cancer Research
2015 Volume.3 No. 2 p.113 ~ p.115
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Stroke-like Manifestation in a Patient with Leptomeningeal Metastasis of Pancreatic Cancer
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Na Boo-Suk
Song Soo-Jin
Song Jong-Min
Woo Ho-Geol
Kwon Young-Nam
Lee Do-Kyung
Ahn Tae-Beom
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Abstract
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Pancreatic cancer is commonly presented with distant metastasis. However metastasis to central nervous system (CNS) of pancreatic cancer was rarely reported. 79-years-old man was hospitalized with sudden onset right arm dysesthesia and weakness. In brain magnetic resonance imaging, multifocal high signal intensity lesions in cerebral and cerebellar cortices were observed. Leptomeningeal and parenchymal enhanced lesions were also noted in contrast-enhanced T1 images suggesting a metastasis from the pancreatic cancer. Stroke like manifestation of CNS metastasis of pancreatic cancer is extremely rare. Careful history taking and evaluation should be performed to find the origin of the sudden neurologic deficit.
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KEYWORD
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Pancreatic cancer, Stroke, Hemiparesis, Metastasis, Leptomeningeal neoplasm
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