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Updated: Jul 17, 2026
06:29
Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
Published on: June 11, 2019
Gall bladder carcinoma: stroke as first manifestation
Amit Agrawal1, C S Agrawal, Anand Kumar
1Department of Surgery, B P Koirala Institute of Health Sciences, Dharan, Nepal. dramitagrawal@gmail.com
Summary
Distant metastasis from gallbladder carcinoma is rare. This case highlights a patient presenting with neurological symptoms due to a brain tumor, later found to be gallbladder cancer with liver metastasis.
Area of Science:
- Oncology
- Neurology
- Gastroenterology
Background:
- Gallbladder carcinoma rarely presents with distant metastases.
- Metastatic disease typically involves the liver, peritoneum, lungs, or bone.
Observation:
- A 73-year-old female presented with right-sided hemiparesis, indicative of a neurological deficit.
- Imaging revealed a left frontal lobe tumor as the cause of her symptoms.
Findings:
- Surgical excision of the brain tumor led to improved neurological function.
- Subsequent investigations identified a primary mass in the gallbladder with secondary nodules in the liver.
Implications:
- This case underscores the uncommon presentation of gallbladder carcinoma with brain metastasis.
- Highlights the importance of comprehensive workup in unexplained neurological deficits, even in the presence of a seemingly localized brain tumor.
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