Metastatic Tumors of the Brain from a Neurosurgical Point of View

Störtebecker, Tore Patrick

doi:10.3171/jns.1954.11.1.0084

Cited by 148 publications

(14 citation statements)

References 20 publications

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“…Furthermore, the majority of the reported cases of brain metastasis were accompanied by lymph node, liver, lung or bone metastasis (4,5,12); there have been extremely few reports of brain metastasis as a solitary lesion from gastric cancer. An early follow-up study reported that the most frequent initial symptoms of brain metastasis are headache, mental status changes, migraine, vision disorder and Jacksonian epilepsy (13). In the present study, these peripheral nervous system symptoms were initially considered to be caused by chemotherapy with oxaliplatin.…”

Section: Discussionmentioning

confidence: 78%

A case report of gastric cancer with brain metastasis: Rare peripheral nervous system symptoms

et al. 2016

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Abstract. Gastric cancer with brain metastasis is rare. The present study reports a case of gastric cancer with isolated brain metastasis 1 year after gastrectomy. To the best of our knowledge, there have been no prior reports of solitary brain metastasis from gastric cancer with peripheral nervous system symptoms. A distal gastrectomy was performed on a 60-year-old male patient with gastric cancer in November 2012. Postoperative pathological analysis revealed a moderately differentiated adenocarcinoma with tumor invasion into the serosa and metastasis to one dissected lymph node. No abnormalities were found at follow-up examination. However, a tumor representing metastasis to the brain was recognized by a cranial enhanced magnetic resonance imaging examination 1 year after gastrectomy, which was performed when the patient exhibited numbness and thigmesthesia. The patient was administered 30 Gy of stereotactic radiotherapy, delivered in 5 fractions. The patient succumbed to disease 10 months subsequent to undergoing radiotherapy. This case report suggests that gastric cancer may re-present as brain metastasis with peripheral nervous system symptoms.

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Section: Discussionmentioning

confidence: 78%

A case report of gastric cancer with brain metastasis: Rare peripheral nervous system symptoms

et al. 2016

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“…Even if a metastatic brain tumor infiltrates the neighboring brain tissue, it is less infiltrative than a glial cell tumor [131415], and its solidity and color differ from normal brain tissue. It is possible to use these characteristics to differentiate metastatic brain tumors from other neural tissues [16], and as a result, the total macroscopic removal of metastatic brain tumors is often easier and less damaging to the circumscribed brain tissue than is the removal of a glial cell tumor [131415]. Cavernous malformations are located in the thin-walled vascular sinusoidal space rather than in normal brain tissue or ventricle.…”

Section: Discussionmentioning

confidence: 99%

Surgical Resection of Non-Glial Tumors in the Motor Cortex

Lee

Hwang

et al. 2016

Brain Tumor Res Treat

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BackgroundDirect surgery to resect tumors in the motor cortex could improve neurological symptoms or cause novel motor weakness. The present study describes the neurological outcomes of patients after the surgical resection of non-glial tumors in the primary motor cortex.MethodsThe present study included 25 patients who had pathologically confirmed non-glial tumors in the motor cortex for which they underwent surgery. Tumor location was verified using anatomical landmarks on preoperative magnetic resonance imaging scans. All surgeries involved a craniotomy and tumor resection, especially use of the sulcal dissecting approach for intra-axial tumors.ResultsOf the 25 patients, 10 exhibited metastasis, 13 had a meningioma, and 2 had a cavernous malformation. Motor weakness and seizures were the most common symptoms, while 3 patients experienced only a headache. The tumor size was less than 20 mm in 4 patients, 20–40 mm in 14, and greater than 40 mm in seven. Of the 25 patients, 13 exhibited motor weakness prior to the operation, but most of these symptoms (76.9%) improved following surgery. On the other hand, eight patients experienced seizures prior to the surgery, and in three of these patients (37.5%), the seizures were not controlled after the surgery. In terms of surgical complications, a postoperative hematoma developed in one of the meningioma patients, and the patient's hemiparesis was aggravated.ConclusionThe present findings show that careful and meticulous resection of non-glial tumors in the motor cortex can improve preoperative neurological signs, but it cannot completely control seizure activity.

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“…More commonly, central nervous system metastases arise from lung, breast or skin primary tumors, while brain metastases from cervical cancer are extremely rare [1][2][3][4]. Only few cases have been reported in the literature, due to the rarity of this event.…”

Section: Introductionmentioning

confidence: 99%

Single brain metastases from cervical carcinoma: report of two cases and critical review of the literature

et al. 2011

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Single brain metastases from cervical carcinomas are rare. We report two cases of solitary brain metastases, showing different histological types, which have been excised with microsurgical technique. Neuroendocrine differentiation does not seem to be connected to clinical behavior, indeed a poor prognosis depends on poorly differentiated histological types. In our cases, brain metastases were a late event and they have been successfully excised in microsurgery, thanks to their solitary and resectable nature, and a well-controlled primary disease.

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Metastatic Tumors of the Brain from a Neurosurgical Point of View

Cited by 148 publications

References 20 publications

A case report of gastric cancer with brain metastasis: Rare peripheral nervous system symptoms

A case report of gastric cancer with brain metastasis: Rare peripheral nervous system symptoms

Surgical Resection of Non-Glial Tumors in the Motor Cortex

Single brain metastases from cervical carcinoma: report of two cases and critical review of the literature

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