Patient comeback to clinic with headache



Doctor's Information

Name : Morteza
Family : Sanei Taheri
Affiliation :Radiology Department,Shohada Tajrish Hospital,SBMU
Academic Degree : Associate Professor of Radiology
Email : This email address is being protected from spambots. You need JavaScript enabled to view it.
Resident : Amirreza Tadayonfar,Farzaneh Jokar


Case Section



Patient's Information

Gender : Male
Age : 17


Clinical Summary

17_years_old male with choriocarcinoma of testis and comeback with headache and seizure.


Imaging Findings

Images demonstrate high signal on T1&low on T2 lesion in right cerebellar hemisphere infavoure of hemorraghic component with  perilesional edema and mass effect on 4th ventricle  leading to transtentorial herniation and hydrocephaly


Differential Diagnosis

hemorrhagic metastasis, high-grade glioma


Final Diagnosis

Brain Metastasis from testicular choriocarcinoma


Discussion (Related Text)

Primary malignancies responsible for hemorrhagic metastases can be remembered using this mnemonic : Primary malignancies responsible for haemorrhagic metastases (MR CT BB): • M - melanoma • R - renal cell carcinoma • C - choricarcinoma • T - thyroid carcinoma, teratoma • B - bronchogenic carcinoma • B - breast carcinoma




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