Katkov Daniil
Internal Medicine, Waterbury Hospital, Waterbury, USA.
Cureus. 2024 Nov 26;16(11):e74490. doi: 10.7759/cureus.74490. eCollection 2024 Nov.
A 48-year-old female presented to the ED with worsening headache and neck pain for the past week. Her medical history is significant for recurrent left-sided triple-negative breast cancer (TNBC) with metastasis to the chest wall, liver, and lungs, initially diagnosed two years ago. She underwent a left-sided mastectomy and received radiation therapy and chemotherapy. Physical examination was remarkable for nuchal rigidity and photophobia. MRI of the brain with contrast was performed, and the results were consistent with the new calvarium, skull, and upper cervical spine osseous metastases without any intracranial metastatic disease. This case report presents a rare cause of nuchal rigidity and photophobia due to an uncommon metastatic pattern in a patient with TNBC.
一名48岁女性因过去一周头痛和颈部疼痛加重而就诊于急诊科。她的病史主要为两年前初诊的复发性左侧三阴性乳腺癌（TNBC），已转移至胸壁、肝脏和肺部。她接受了左侧乳房切除术，并接受了放疗和化疗。体格检查发现有颈项强直和畏光现象。进行了脑部增强MRI检查，结果显示符合新的颅骨、头骨和上颈椎骨转移，无任何颅内转移疾病。本病例报告展示了一名TNBC患者因罕见的转移模式导致颈项强直和畏光的罕见病因。
