Title

Brain tumor presenting as an acute pure motor hemiparesis

UMMS Affiliation

Department of Neurology

Publication Date

1989-02-01

Document Type

Article

Subjects

Acute Disease; Aged; Brain Neoplasms; Carcinoma, Small Cell; Cerebrovascular Disorders; Diagnosis, Differential; Female; Glioma; Hemiplegia; Humans; Lymphoma; Middle Aged; Tomography, X-Ray Computed

Disciplines

Nervous System Diseases | Neurology

Abstract

Acute pure motor hemiparesis is a clinical syndrome of isolated hemiparesis usually related to lacunar infarction, although other etiologies have been described. We recently encountered three patients with the abrupt onset of pure motor hemiparesis as the initial manifestation of primary or metastatic brain tumor. In each patient, early computed tomography demonstrated a nonhemorrhagic, right frontal, enhancing mass lesion. While the mechanism whereby brain tumor may present abruptly and simulate a stroke remains uncertain, these cases illustrate that pure motor hemiparesis can be the initial symptom of intracranial tumor. Early computed tomography or magnetic resonance imaging is suggested for all patients who present acutely with pure motor hemiparesis.

Source

Stroke. 1989 Feb;20(2):288-91.

Journal/Book/Conference Title

Stroke; a journal of cerebral circulation

Related Resources

Link to article in PubMed

PubMed ID

2537544

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