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International Journal of Emergency Medicine
Published in: International Journal of Emergency Medicine 1/2011

Open Access 01-12-2011 | Case report

Meningeal carcinomatosis diagnosed during stroke evaluation in the emergency department

Authors: Derek R Cooney, Norma L Cooney

Published in: International Journal of Emergency Medicine | Issue 1/2011

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Abstract

A 70-year-old female presented to the emergency department with a 3-day history of intermittent dysphasia and right facial droop. Computed tomography (CT) and magnetic resonance imaging (MRI) were obtained, and the patient was found to have meningeal carcinomatosis, also known as leptomeningeal metastases. Meningeal carcinomatosis is a rare metastatic complication of some solid tumors and hematopoietic neoplasms, and has a median survival rate of 2.4 months. The role of the emergency physician is to appropriately diagnose this condition, treat emergent side effects, provide symptomatic relief, and ensure multi-disciplinary management.
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Literature
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Taillibert S, Laigle-Donadcy F, Chodkicwicz C, Sanson M, Hoang-Xuan K, Delattre J: Leptomeningeal metastases from solid malignancy: a review. J Neurooncol 2005, 75: 85–99. 10.1007/s11060-004-8101-xCrossRefPubMed
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Clarke JL, Perez HR, Jacks LM, Panageas KS, DeAngelis LM: Leptomeningeal metastases in the MRI era. Neurology 2010, 74: 1449–54. 10.1212/WNL.0b013e3181dc1a69PubMedCentralCrossRefPubMed
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Metadata
Title
Meningeal carcinomatosis diagnosed during stroke evaluation in the emergency department
Authors
Derek R Cooney
Norma L Cooney
Publication date
01-12-2011
Publisher
Springer Berlin Heidelberg
Published in
International Journal of Emergency Medicine / Issue 1/2011
Print ISSN: 1865-1372
Electronic ISSN: 1865-1380
DOI
https://doi.org/10.1186/1865-1380-4-52

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