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Information Journal Paper

Title

Autopsy diagnosis of leptomeningeal carcinomatosis, the first manifestation of gastric adenocarcinoma: a rare case report and review of the literature

Pages

  276-280

Abstract

 This study aimed to report an unusual presentation of an advanced gastric adenocarcinoma. Leptomeningeal carcinomatosis is a rare event in gastric adenocarcinoma. It is much more uncommon as the primary manifestation in post-mortem evaluation of the cause of death in a patient presenting with headache and neurological signs and symptoms. Herein, we discuss our experience with a case of gastric adenocarcinoma, who was diagnosed after death, presenting with neurological signs and symptoms of leptomeningeal carcinomatosis. A 52-year-old gentleman presented with intractable headache and neck pain as well as vertigo. His physical examination showed only decreased deep tendon reflexes. He died after a short period of coma. Post-mortem evaluation showed numerous signet ring cells in the subarachnoid space as well as gastric malignant ulcer. In patients with intractable headache with no identifiable cause, meningeal involvement and infiltration should be considered as the probable underlying cause. Radiologic findings are not significant; however, lumbar puncture can be diagnostic.

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    APA: Copy

    GERAMIZADEH, BITA, Fereidooni, Mehran, DEHGHAN, ALIREZA, & BAGHERI LANKARANI, KAMRAN. (2021). Autopsy diagnosis of leptomeningeal carcinomatosis, the first manifestation of gastric adenocarcinoma: a rare case report and review of the literature. GASTROENTEROLOGY AND HEPATOLOGY FROM BED TO BENCH, 14(3), 276-280. SID. https://sid.ir/paper/984484/en

    Vancouver: Copy

    GERAMIZADEH BITA, Fereidooni Mehran, DEHGHAN ALIREZA, BAGHERI LANKARANI KAMRAN. Autopsy diagnosis of leptomeningeal carcinomatosis, the first manifestation of gastric adenocarcinoma: a rare case report and review of the literature. GASTROENTEROLOGY AND HEPATOLOGY FROM BED TO BENCH[Internet]. 2021;14(3):276-280. Available from: https://sid.ir/paper/984484/en

    IEEE: Copy

    BITA GERAMIZADEH, Mehran Fereidooni, ALIREZA DEHGHAN, and KAMRAN BAGHERI LANKARANI, “Autopsy diagnosis of leptomeningeal carcinomatosis, the first manifestation of gastric adenocarcinoma: a rare case report and review of the literature,” GASTROENTEROLOGY AND HEPATOLOGY FROM BED TO BENCH, vol. 14, no. 3, pp. 276–280, 2021, [Online]. Available: https://sid.ir/paper/984484/en

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