Hemorragia por metástasis cerebrales por carcinoma infiltrante de mama: a propósito de un caso

Breast cancer is the second most common cause of brain metastases (BM) whose clinical manifestations include headache, seizures or paresis. Bleeding due to BM accounts for 2–7% of intracranial haemorrhages. Surgery and radiosurgery are the only local treatments that can improve survival in case of BM haemorrhage.

This is a case of a patient with breast cancer and 4 BM who consulted the emergency department for dysarthria and haemiparesis. Cranial CT scan showed bleeding from her 4 metastases. Surgery was performed with this intention but the patient finally died.

In a patient with a history of neoplastic disease who consults for clinical neurological focality, it is important to rule out the presence of brain metastases, and if such metastases exist, to rule out a complication such as bleeding.