International Urology and Nephrology

, Volume 40, Issue 3, pp 675–678 | Cite as

Multifocal symptomatic intracerebral metastases as the first manifestation of prostatic carcinoma: a report and literature review

  • Sudhanshu Chitale
  • Ralph Webb
  • Duncan MacIver
  • Danielle Peat
Original Article
First Online:
Received:
Accepted:

Abstract

We report an unusual case of prostatic carcinoma in a middle-aged man with symptomatic multifocal intracerebral metastases as its initial manifestation to highlight the importance of its accurate diagnosis and implications on its management and review relevant literature.

Keywords

Prostatic carcinoma Metastases Intracerebral Multifocal 
This is a preview of subscription content, log in to check access.

References

  1. 1.
    Ameur A et al (2001) Brain metastasis of prostatic cancer: regression under hormonal control. Prog Urol 11:1298–1301PubMedGoogle Scholar
  2. 2.
    Helcl F, Malec R (1973) Syndrome of the pontocerebellar angle caused by metastasis of prostate carcinoma into pyramidal part of petrosal bone. SbVed Pr Lek Fak Karlovy Univerzity Hradci Kralove 16:315–318Google Scholar
  3. 3.
    Sutton MA, Watkins HL, Green LK, Kadmon D (1996) Intracranial metastases as the first manifestation of prostate cancer. Urology 48:789–793PubMedCrossRefGoogle Scholar
  4. 4.
    Capito PR, Wang H, Brem H, Ahn HS, Bryan RN (1991) Magnetic resonance imaging diagnosis of an intracranial metastasis of adenocarcinoma of the prostate: case report. Md Med J 40:113–115PubMedGoogle Scholar
  5. 5.
    Tagle P, Villanueva P, Torrealba G, Huete I (2002) Intracranial metastasis or meningioma? An uncommon clinical diagnostic dilemma. Surg Neurol 58:241–245PubMedCrossRefGoogle Scholar
  6. 6.
    Giordana MT, Cordera S, Boghi A (2000) Cerebral metastases as the first symptom of cancer: a clinico-pathologic study. J Neurooncol 50:265–273PubMedCrossRefGoogle Scholar
  7. 7.
    Ars C et al (2004) Unusual metastatic features in a patient with concomitant malignant orbital melanoma and prostate carcinoma. J Neurooncol 66:361–363PubMedCrossRefGoogle Scholar
  8. 8.
    Confavreux CB, Cotton F, Tebib JG (2006) Advanced MRI could help to differentiate meningeal carcinomatosis with mass effect from cerebral metastasis in prostate cancer. Bull Cancer 93:E31–E35PubMedGoogle Scholar
  9. 9.
    Salvati M, Cervoni L (1997) Carcinoma of the prostate: brain stem metastasis as the only site of spread. Tumori 83:776–778PubMedGoogle Scholar
  10. 10.
    Loseke N, Retif J, Noterman J, Flament-Durand J (1981) Inferior red nucleus syndrome (Benedikt’s syndrome) due to a single intramesencephalic metastasis from a prostatic carcinoma. Case report. Acta Neurochir (Wien) 6:59–64CrossRefGoogle Scholar
  11. 11.
    Massot-Punyet R, Almajano J, Camacho JM (2000) Cerebral metastasis. Rev Neurol 31:1241–1247Google Scholar
  12. 12.
    Fervenza FC, Wolanskyj AP, Eklund HE, Richardson RL (2000) Brain metastasis: an unusual complication from prostatic adenocarcinoma. Mayo Clin Proc 75:79–82PubMedGoogle Scholar
  13. 13.
    Kohri K et al (1991) Effect of endocrine therapy on a brain metastatic lesion of prostatic carcinoma. Urol Int 7:100–102CrossRefGoogle Scholar
  14. 14.
    Barolat-Romana G, Maiman D, Dernbach P, Choi H (1984) Prostate carcinoma presenting as intracranial hemorrhage: case report. J Neurosurg 60:414–416PubMedCrossRefGoogle Scholar
  15. 15.
    Chang DS, Hwang SL, Howng SL, Chai CY (1998) Prostatic carcinoma with brain metastasis presenting as a tumour haemorrhage. Kaohsiung J Med Sci 14:247–250PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media B.V. 2007

Authors and Affiliations

  • Sudhanshu Chitale
    • 1
  • Ralph Webb
    • 1
  • Duncan MacIver
    • 2
  • Danielle Peat
    • 3
  1. 1.Department of UrologyNorfolk & Norwich University HospitalNorwichUK
  2. 2.Department of RadiologyNorfolk & Norwich University HospitalNorwichUK
  3. 3.Department of HistopathologyNorfolk & Norwich University HospitalNorwichUK

Personalised recommendations