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Brain tumour presenting with burns: Case report and discussion
Oliver Sawyer1, Ciaran P O'Boyle2
1North Bristol Trust, United Kingdom.
Summary
This rare case shows that severe burns can mask neurological conditions like brain tumors. Prompt multidisciplinary care enabled successful treatment for both the burns and the intracranial tumor.
Area of Science:
- Neurology
- Neurosurgery
- Burn Management
Background:
- Neurological deficits are rarely presenting features of underlying pathology.
- Meningioma has been previously reported as a cause of burns.
- Limited case reports exist on managing patients with both burns and neurological conditions.
Observation:
- A 35-year-old female presented with extensive burns and rapid neurological decline.
- MRI revealed a large intracranial tumor.
- The patient had 25% total body surface area burns.
Findings:
- Multidisciplinary management prioritized non-surgical burn care alongside early craniotomy and tumor excision.
- Surgical tumor removal was successful and without complication.
- Burn excision and skin grafting were performed two weeks post-neurosurgery.
Implications:
- This case challenges the notion that burn wounds contraindicate intracranial surgery.
- It highlights the importance of a multidisciplinary approach in complex cases.
- Successful outcomes demonstrate the feasibility of sequential surgical interventions.
