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Clinical features

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Onset of symptoms from metastatic intracranial carcinoma are rapid. Clinical features are those of any intracranial tumour:

  • mass effects - raised ICP
  • focal effects - often multiple; epilepsy is relatively common

Cerebellar metastases account for one quarter of the intracranial metastases; they are the second most common space-occupying lesion in the cerebellum in adults. Presentation is of ataxia and rapid development of raised ICP due to ventricular outflow obstruction.

Chronic meningitis with consequent headache, raised ICP and multiple cranial nerve palsies arise form infiltration into the meninges. There may be loss of reflexes due to spinal meningeal involvement.


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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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