A patient with recent Adenocarcinoma of Lungs underwent lobectomy presented with 3 episode of seizures and was seizing on the way to the hospital . Patient was noted in the post ictal period . Patient has gaze preference towards the left. Patient was started on Lorazepam and Levetricetam. Patient underwent contrast CT which showed multiple metastasis in the left side of the brain . Patient was started on dexamethasone 4mg and treated with IV fluids and antiepileptics. Patient was then referred to the neurosurgery team.
Adenocarcinoma of Lungs are usually seen among smokers and mostly seen among young females. It is one among the many non small cell carcinoma and they commonly metastasis to bones. Very few spread to the brain as well . Around 10 % of patients with adenocarcinoma present with distant metastasis.
MaridassharesOncoknowledge 