IMAGES IN NEUROLOGY 49-YEAR-OLD WOMAN posterior inferior cerebellar arter- Correspondence: Dr DeAngelis, De- presented with 2 ies, with surrounding infarction partment of Neurology, Memorial weeks of cough and (Figure, C and D). Arterial tumor Sloan-Kettering Cancer Center, 1275 fevers and 1 week of emboli were also identified in the York Ave, New York, NY 10065 A right-sided weak- heart, lungs, spleen, and kidneys. (firstname.lastname@example.org). ness and difficulty speaking. Exami- Author Contributions: Study con- nation was notable for tachycardia, cept and design: Navi, Lavi, and COMMENT distant heart sounds, jugular venous DeAngelis. Acquisition of data: Navi, distention, pulsus paradoxicus, and Lavi, and Jamieson. Analysis and in- Tumor embolism is a rare cause of Janeway lesions. Neurologic exami- terpretation of data: Navi, Kawagu- stroke, occurring most commonly chi, Hriljac, Lavi, DeAngelis, and Ja- nation revealed global aphasia, right with primary or metastatic neo- mieson. Drafting of the manuscript: homonymous hemianopsia, and a plasms of the lung. To our knowl- Navi, DeAngelis, and Jamieson. right hemiparesis. Laboratory exami- edge, there are only 3 definitive Critical revision of the manuscript for nation was remarkable for a tropo- cases of lung cancer presenting 1-3 important intellectual content: Navi, nin level of 0.45 ng/mL (to
JAMA Neurology – American Medical Association
Published: Sep 1, 2009
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