Kehinde Abiola, Rai Rithvik, Pankaj Pankaj
Endocrinology and Diabetes, Hinchingbrooke Hospital, Huntingdon, GBR.
Internal Medicine, Hinchingbrooke Hospital, Huntingdon, GBR.
Cureus. 2024 Nov 18;16(11):e73913. doi: 10.7759/cureus.73913. eCollection 2024 Nov.
This case report details the clinical journey of an 81-year-old male presenting with significant weight loss, seizures, dysphagia, and rapidly progressive right-sided hearing loss. Initially, he experienced a tonic-clonic seizure, prompting an extensive diagnostic workup. Imaging studies, including CT and MRI, revealed multifocal cortical lesions, initially misinterpreted as cavernous hemangiomas. Subsequent evaluations confirmed the presence of a malignant mass in the right lung with extensive pulmonary metastasis. The diagnosis of metastatic lung cancer was established, leading to a multidisciplinary approach focused on palliative care due to the patient's poor prognosis and the complexity of his symptoms. This case underscores the importance of recognizing neurological manifestations in patients with underlying malignancies and the need for integrated care in such complex scenarios.
本病例报告详细介绍了一名81岁男性的临床病程，该患者出现显著体重减轻、癫痫发作、吞咽困难和迅速进展的右侧听力丧失。最初，他经历了一次强直阵挛性发作，促使进行了广泛的诊断检查。包括CT和MRI在内的影像学研究显示有多发性皮质病变，最初被误诊为海绵状血管瘤。随后的评估证实右肺存在恶性肿块并伴有广泛的肺转移。转移性肺癌的诊断得以确立，由于患者预后不良且症状复杂，因此采取了以姑息治疗为重点的多学科方法。该病例强调了认识潜在恶性肿瘤患者神经表现的重要性以及在这种复杂情况下综合治疗的必要性。
