Hobbs Jonathan G, Van Slambrouck Charles, Miller Jonathan L, Yamini Bakhtiar
Section of Neurosurgery, Department of Surgery, The University of Chicago, Chicago, IL, USA.
Department of Pathology, The University of Chicago, Chicago, IL, USA.
J Clin Neurosci. 2018 Apr;50:133-135. doi: 10.1016/j.jocn.2018.01.054. Epub 2018 Feb 7.
This is the case of a previously healthy 48 year-old male whom presented with mild confusion, low-grade headache, and left sided weakness. Computed tomography of the head revealed a large acute right frontal lobe intracranial hemorrhage (ICH) and intraventricular extension, with normal vascular imaging. Initial laboratory testing was inconsequential. The patient required emergent evacuation, with pathology revealing only elements of a hematoma. Further laboratory testing and bone marrow biopsy results confirmed the diagnosis of plasma cell myeloma. Other systemic signs/symptoms of this disease were notably absent. This report provides the first description of an ICH as the presenting manifestation of plasma cell myeloma (PCM; multiple myeloma).
