Ring Cell Gastric Cancer Presenting with Headache

Selin Yetkinel; Basak Karakurum Goksel

doi:doi:10.11648/j.cnn.20170102.12

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Ring Cell Gastric Cancer Presenting with Headache

Selin Yetkinel, Basak Karakurum Goksel

Published in Clinical Neurology and Neuroscience (Volume 1, Issue 2)

Received: 24 January 2017 Accepted: 6 April 2017 Published: 30 April 2017

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Abstract

Headache, the most common symptom of cerebral dysfunction caused by leptomeningeal carcinomatosis, may be the only symptom. The headache usually results from increased intracranial pressure. Brain metastasis of gastric cancer in particular is rarely encountered and leptomeningeal carcinomatosis (LMC) is even less common. Presentation with isolated headache is a very rare condition in patients with gastric carcinoma. This 48-year-old man was admitted to the neurology outpatient clinic with headache that was present for nearly one month. The pain was felt in entire head particularly in the occipital and neck regions. The nature of the pain was throbbing, which worsened in the morning while the patient was in supine position. His headache persisted for all day. There was no nausea and vomiting. Neurological examination was normal. Brain MRI (contrast-enhanced) demonstrated triventricular hydrocephaly with transependymal edema. MR angiography and venography were also normal. Lumbar puncture revealed high cerebrospinal fluid (CSF) pressure (320 cm H₂O), normal biochemistry except for mildly elevated protein, and unremarkable microbiological and pathological examination five days, and fundus examination revealed papilledema. Abdominal tomography demonstrated a focal area of increased gastric wall thickening. Result of endoscopic examination was reported as giant ulcer. PET showed increased FDG uptake in the gastric antrum. Gastric biopsy revealed diffuse carcinoma. Ventriculo-peritoneal shunt was performed for hydrocephalus. His treatment continued at medical oncology department. We reported this case since clinical presentation with isolated headache in the patients with gastric carcinoma is a rare condition.

Published in	Clinical Neurology and Neuroscience (Volume 1, Issue 2)
DOI	10.11648/j.cnn.20170102.12
Page(s)	34-37
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Gastric Cancer, Headache, Leptomeningeal Carcinomatosis

References

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APA Style

Selin Yetkinel, Basak Karakurum Goksel. (2017). Ring Cell Gastric Cancer Presenting with Headache. Clinical Neurology and Neuroscience, 1(2), 34-37. https://doi.org/10.11648/j.cnn.20170102.12

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ACS Style

Selin Yetkinel; Basak Karakurum Goksel. Ring Cell Gastric Cancer Presenting with Headache. Clin. Neurol. Neurosci. 2017, 1(2), 34-37. doi: 10.11648/j.cnn.20170102.12

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AMA Style

Selin Yetkinel, Basak Karakurum Goksel. Ring Cell Gastric Cancer Presenting with Headache. Clin Neurol Neurosci. 2017;1(2):34-37. doi: 10.11648/j.cnn.20170102.12

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@article{10.11648/j.cnn.20170102.12,
  author = {Selin Yetkinel and Basak Karakurum Goksel},
  title = {Ring Cell Gastric Cancer Presenting with Headache},
  journal = {Clinical Neurology and Neuroscience},
  volume = {1},
  number = {2},
  pages = {34-37},
  doi = {10.11648/j.cnn.20170102.12},
  url = {https://doi.org/10.11648/j.cnn.20170102.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cnn.20170102.12},
  abstract = {Headache, the most common symptom of cerebral dysfunction caused by leptomeningeal carcinomatosis, may be the only symptom. The headache usually results from increased intracranial pressure. Brain metastasis of gastric cancer in particular is rarely encountered and leptomeningeal carcinomatosis (LMC) is even less common. Presentation with isolated headache is a very rare condition in patients with gastric carcinoma. This 48-year-old man was admitted to the neurology outpatient clinic with headache that was present for nearly one month. The pain was felt in entire head particularly in the occipital and neck regions. The nature of the pain was throbbing, which worsened in the morning while the patient was in supine position. His headache persisted for all day. There was no nausea and vomiting. Neurological examination was normal. Brain MRI (contrast-enhanced) demonstrated triventricular hydrocephaly with transependymal edema. MR angiography and venography were also normal. Lumbar puncture revealed high cerebrospinal fluid (CSF) pressure (320 cm H2O), normal biochemistry except for mildly elevated protein, and unremarkable microbiological and pathological examination five days, and fundus examination revealed papilledema. Abdominal tomography demonstrated a focal area of increased gastric wall thickening. Result of endoscopic examination was reported as giant ulcer. PET showed increased FDG uptake in the gastric antrum. Gastric biopsy revealed diffuse carcinoma. Ventriculo-peritoneal shunt was performed for hydrocephalus. His treatment continued at medical oncology department. We reported this case since clinical presentation with isolated headache in the patients with gastric carcinoma is a rare condition.},
 year = {2017}
}

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TY - JOUR
T1 - Ring Cell Gastric Cancer Presenting with Headache
AU - Selin Yetkinel
AU - Basak Karakurum Goksel
Y1 - 2017/04/30
PY - 2017
N1 - https://doi.org/10.11648/j.cnn.20170102.12
DO - 10.11648/j.cnn.20170102.12
T2 - Clinical Neurology and Neuroscience
JF - Clinical Neurology and Neuroscience
JO - Clinical Neurology and Neuroscience
SP - 34
EP - 37
PB - Science Publishing Group
SN - 2578-8930
UR - https://doi.org/10.11648/j.cnn.20170102.12
AB - Headache, the most common symptom of cerebral dysfunction caused by leptomeningeal carcinomatosis, may be the only symptom. The headache usually results from increased intracranial pressure. Brain metastasis of gastric cancer in particular is rarely encountered and leptomeningeal carcinomatosis (LMC) is even less common. Presentation with isolated headache is a very rare condition in patients with gastric carcinoma. This 48-year-old man was admitted to the neurology outpatient clinic with headache that was present for nearly one month. The pain was felt in entire head particularly in the occipital and neck regions. The nature of the pain was throbbing, which worsened in the morning while the patient was in supine position. His headache persisted for all day. There was no nausea and vomiting. Neurological examination was normal. Brain MRI (contrast-enhanced) demonstrated triventricular hydrocephaly with transependymal edema. MR angiography and venography were also normal. Lumbar puncture revealed high cerebrospinal fluid (CSF) pressure (320 cm H2O), normal biochemistry except for mildly elevated protein, and unremarkable microbiological and pathological examination five days, and fundus examination revealed papilledema. Abdominal tomography demonstrated a focal area of increased gastric wall thickening. Result of endoscopic examination was reported as giant ulcer. PET showed increased FDG uptake in the gastric antrum. Gastric biopsy revealed diffuse carcinoma. Ventriculo-peritoneal shunt was performed for hydrocephalus. His treatment continued at medical oncology department. We reported this case since clinical presentation with isolated headache in the patients with gastric carcinoma is a rare condition.
VL - 1
IS - 2
ER -

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Author Information

Selin Yetkinel

Department of Neurology, Agri State Hospital, Agri, Turkey
Basak Karakurum Goksel

Baskent University Faculty of Medicine, Department of Neurology, Adana Teaching and Medical Research Center, Adana, Turkey

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APA Style

Selin Yetkinel, Basak Karakurum Goksel. (2017). Ring Cell Gastric Cancer Presenting with Headache. Clinical Neurology and Neuroscience, 1(2), 34-37. https://doi.org/10.11648/j.cnn.20170102.12

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ACS Style

Selin Yetkinel; Basak Karakurum Goksel. Ring Cell Gastric Cancer Presenting with Headache. Clin. Neurol. Neurosci. 2017, 1(2), 34-37. doi: 10.11648/j.cnn.20170102.12

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AMA Style

Selin Yetkinel, Basak Karakurum Goksel. Ring Cell Gastric Cancer Presenting with Headache. Clin Neurol Neurosci. 2017;1(2):34-37. doi: 10.11648/j.cnn.20170102.12

Copy | Download

@article{10.11648/j.cnn.20170102.12,
  author = {Selin Yetkinel and Basak Karakurum Goksel},
  title = {Ring Cell Gastric Cancer Presenting with Headache},
  journal = {Clinical Neurology and Neuroscience},
  volume = {1},
  number = {2},
  pages = {34-37},
  doi = {10.11648/j.cnn.20170102.12},
  url = {https://doi.org/10.11648/j.cnn.20170102.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cnn.20170102.12},
  abstract = {Headache, the most common symptom of cerebral dysfunction caused by leptomeningeal carcinomatosis, may be the only symptom. The headache usually results from increased intracranial pressure. Brain metastasis of gastric cancer in particular is rarely encountered and leptomeningeal carcinomatosis (LMC) is even less common. Presentation with isolated headache is a very rare condition in patients with gastric carcinoma. This 48-year-old man was admitted to the neurology outpatient clinic with headache that was present for nearly one month. The pain was felt in entire head particularly in the occipital and neck regions. The nature of the pain was throbbing, which worsened in the morning while the patient was in supine position. His headache persisted for all day. There was no nausea and vomiting. Neurological examination was normal. Brain MRI (contrast-enhanced) demonstrated triventricular hydrocephaly with transependymal edema. MR angiography and venography were also normal. Lumbar puncture revealed high cerebrospinal fluid (CSF) pressure (320 cm H2O), normal biochemistry except for mildly elevated protein, and unremarkable microbiological and pathological examination five days, and fundus examination revealed papilledema. Abdominal tomography demonstrated a focal area of increased gastric wall thickening. Result of endoscopic examination was reported as giant ulcer. PET showed increased FDG uptake in the gastric antrum. Gastric biopsy revealed diffuse carcinoma. Ventriculo-peritoneal shunt was performed for hydrocephalus. His treatment continued at medical oncology department. We reported this case since clinical presentation with isolated headache in the patients with gastric carcinoma is a rare condition.},
 year = {2017}
}

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