Talan-Hranilović Jasna, Vucić Majda, Hećimović Hrvoje, Vargek-Solter Vesna, Kalousek Miljenko, Demarin Vida
Klinicki zavod Ljudevit Jurak Klinicka bolnica Sestre milosrdnice, Vinogradska cesta 29, 10 000 Zagreb.
Lijec Vjesn. 2003 Mar-Apr;125(3-4):68-70.
We present a patient who had progressive cognitive decline and Jackson epileptic seizures and CT scan of nonspecific multiple cortical lesions. Post mortem examination revealed multiple cortical metastases of the brain and primary occult papillary carcinoma of the thyroid gland. Solitary metastases of the left kidney and pulmonary lymphangitic spread were also present. Multiple cortical metastases of the brain from primary occult papillary carcinoma of the thyroid gland with such neurological symptoms have not been reported previously.
我们报告一名患有进行性认知衰退和杰克逊癫痫发作的患者,其CT扫描显示有非特异性的多发性皮质病变。尸检发现脑部有多个皮质转移瘤以及甲状腺原发性隐匿性乳头状癌。还存在左肾的孤立转移瘤和肺淋巴管播散。甲状腺原发性隐匿性乳头状癌导致脑部出现多发性皮质转移瘤并伴有此类神经症状,此前尚未见报道。