Unusual Intracerebral Hemorrhage as a Postoperative Complication of A Metastatic Tumor

Described here is an unusual complication after diagnostic biopsy for brain metastasis. We admitted a 39-year-old male patient with history of recent onset seizure. MRI revealed multiple lesion . Workup to diagnosis of metastasis was negative. He underwent a lesionectomy. Histological examination identified metastatic adenocarcinoma. After the surgery hemorrhage in corpus callosum deteriorated his neurological status. Brain metastases represent a significant source of morbidity and mortality in patients with systemic cancer. Among adults, the highest incidence is observed in the fifth to seventh decades of life[1]. The most common sources of brain metastases in this patient group are cancers of the lung, breast, and skin, in descending order[2]. As many as 10% to 15% of patients with a clinical diagnosis of metastasis may, in fact, have nonmetastatic lesions such as abscesses or primary tumors[3]. So in patients without known primary site of tumor, sampling can provide tissue for confirming the diagnosis of metastasis. In other hands post operative hemorrhage has been known as a complication of surgery.