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Unusual presentation of more common disease/injury
CASE REPORT
Isolated clival metastasis: a rare presentation of renal cell carcinoma
  1. Anil Mani1,
  2. Priyank Yadav1,
  3. Vimal Kumar Paliwal2,
  4. Hira Lal3
  1. 1 Department of Urology and Renal Transplant, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
  2. 2 Department of Neurology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
  3. 3 Department of Radiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
  1. Correspondence to Dr Hira Lal, hiralal2007{at}yahoo.co.in

Summary

Renal cell carcinoma accounts for 3% of all adult malignancies. Usual sites of metastasis are lymph nodes, lungs, bone, liver and brain. We describe a patient who presented with complaints of holocranial headache and diplopia. MRI of the head showed a clival-based lesion with associated bony erosion. With suspicion of a metastatic lesion, an ultrasonogram of the abdomen was done which showed a left renal mass that enhanced on contrast-enhanced CT. There were no other metastatic foci. Patient underwent radiotherapy for the clival lesion. This case report emphasises on the evaluation of clival lesion with cranial neuropathies for a possibility of a renal primary tumour.

  • radiology
  • neuroimaging
  • cranial nerves

https://doi.org/10.1136/bcr-2017-221570

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    Footnotes

    • Twitter @Priyank_urology

    • Contributors VKP and HL conceived the manuscript. AM prepared the manuscript. PY and AM provided the images. PY edited the manuscript. HL and VKP reviewed the manuscript. All the authors read and approved the final draft.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.