March 2017

53yo with intermittent speech problems

•53yo M who was diagnosed with renal cell carcinoma s/p nephrectomy 10 years ago. He recently developed issues with headaches and intermittent confusion and difficulty speaking.
•PMH is otherwise unremarkable
•Vital signs normal
•Neurologically intact except for mild word finding difficulty
Further information

Initial Imaging

Followup Imaging




•Stelzer et al. Epidemiology and prognosis of brain metastasis. Surg Neurol Int 2013.
•Rahman et al. Radiographic response of brain metastasis after LINAC radiosurgery. Stereotact Funct Neurosurg 2012.
•Shaw et al. Single dose radiosurgical treatment of recurrent previously irradiated primary brain tumors and metastases: Final report of RTOG protocol 90-05. Int J Radiat Oncol Biol Phys 2000.
•Torres-Reveron et al. Stereotactic laser induced thermotherapy (LITT): a novel treatment for brain lesions regrowing after radiosurgery. J Neurooncol 2013.

  • Social Media:

Continue the discussion on LinkedIn with our members-only Case of the Month Discussion Group. Create a dialogue and see how your recommendations compare with your colleagues across the globe.