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Images in Neurology
June 2012

Metastatic Renal Cell Carcinoma With Radiologic Appearance of a Meningioma

Author Affiliations

Author Affiliations: Department of Neurology, University of Pittsburgh, Pennsylvania (Dr Jadhav); and Department of Neurology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts (Drs Jadhav and Greenberg).

Arch Neurol. 2012;69(6):780-781. doi:10.1001/archneurol.2011.500

A 67-year-old man with a history of hypertension, hyperlipidemia, and tobacco use developed sudden onset of right facial droop and slurred speech lasting several minutes. Evaluation 1 day later showed normal neurological examination, and a computed tomographic head scan without contrast demonstrated a large hypodensity in the left parietal lobe. A magnetic resonance image head scan suggested a dural-based left parietal lesion with extensive edema and mild mass effect (Figure, A and B). The patient was initially treated with corticosteroids and an antiepileptic medication.

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