Epidural Brain Metastases in a Patient with Early Onset Pancreatic Cancer: A Case Report and Literature Review

We present a case of early onset pancreatic cancer related extra-axial brain metastases. A 46-year-old Caucasian non-Jewish nonobese male with a history of PC diagnosed 3 months ago with metastases to the liver, omentum, malignant ascites, and a history of a pulmonary embolism was admitted to the ho...

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Main Authors: Aibek E. Mirrakhimov, Farah N. Khan
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Oncological Medicine
Online Access:http://dx.doi.org/10.1155/2012/962305
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author Aibek E. Mirrakhimov
Farah N. Khan
author_facet Aibek E. Mirrakhimov
Farah N. Khan
author_sort Aibek E. Mirrakhimov
collection DOAJ
description We present a case of early onset pancreatic cancer related extra-axial brain metastases. A 46-year-old Caucasian non-Jewish nonobese male with a history of PC diagnosed 3 months ago with metastases to the liver, omentum, malignant ascites, and a history of a pulmonary embolism was admitted to the hospital because of a new onset headache, nausea, and vomiting which started 2 days prior to the encounter. Brain MRI was ordered, which showed acute bihemispheric subdural hematomas and left hemispheric extra-axial heterogeneously enhancing lesions consisting with metastatic disease. The patient was started on ondansentron, metoclopramide, and dexamethasone. The cranial irradiation was started, and the patient’s headache and nausea significantly improved. There are only 9 published reports of extra-axial brain metastases related to the pancreatic cancer, whereas our paper is the first such case reported on a patient with epidural metastases and early onset pancreatic cancer.
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spelling doaj-art-05d2290ca6b94a3fb2ef3e3c7a0297462025-02-03T00:59:06ZengWileyCase Reports in Oncological Medicine2090-67062090-67142012-01-01201210.1155/2012/962305962305Epidural Brain Metastases in a Patient with Early Onset Pancreatic Cancer: A Case Report and Literature ReviewAibek E. Mirrakhimov0Farah N. Khan1Department of Internal Medicine, Saint Joseph Hospital, 2900 N. Lake Shore, Chicago, IL 60657, USADepartment of Internal Medicine, Saint Joseph Hospital, 2900 N. Lake Shore, Chicago, IL 60657, USAWe present a case of early onset pancreatic cancer related extra-axial brain metastases. A 46-year-old Caucasian non-Jewish nonobese male with a history of PC diagnosed 3 months ago with metastases to the liver, omentum, malignant ascites, and a history of a pulmonary embolism was admitted to the hospital because of a new onset headache, nausea, and vomiting which started 2 days prior to the encounter. Brain MRI was ordered, which showed acute bihemispheric subdural hematomas and left hemispheric extra-axial heterogeneously enhancing lesions consisting with metastatic disease. The patient was started on ondansentron, metoclopramide, and dexamethasone. The cranial irradiation was started, and the patient’s headache and nausea significantly improved. There are only 9 published reports of extra-axial brain metastases related to the pancreatic cancer, whereas our paper is the first such case reported on a patient with epidural metastases and early onset pancreatic cancer.http://dx.doi.org/10.1155/2012/962305
spellingShingle Aibek E. Mirrakhimov
Farah N. Khan
Epidural Brain Metastases in a Patient with Early Onset Pancreatic Cancer: A Case Report and Literature Review
Case Reports in Oncological Medicine
title Epidural Brain Metastases in a Patient with Early Onset Pancreatic Cancer: A Case Report and Literature Review
title_full Epidural Brain Metastases in a Patient with Early Onset Pancreatic Cancer: A Case Report and Literature Review
title_fullStr Epidural Brain Metastases in a Patient with Early Onset Pancreatic Cancer: A Case Report and Literature Review
title_full_unstemmed Epidural Brain Metastases in a Patient with Early Onset Pancreatic Cancer: A Case Report and Literature Review
title_short Epidural Brain Metastases in a Patient with Early Onset Pancreatic Cancer: A Case Report and Literature Review
title_sort epidural brain metastases in a patient with early onset pancreatic cancer a case report and literature review
url http://dx.doi.org/10.1155/2012/962305
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