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Small cell carcinoma with cystic metastasis to the brain

CASE SUMMARY

The patient is a 59-year-old African American man with a medical history significant for splenectomy pursuant to remote trauma, significant coronary artery disease, and hypertension with consequential chronic heart failure, and bradycardia requiring a pacemaker/cardioverter-defibrillator. He presented with complaints of over-the-counter nonsteroidal anti-inflammatory drug (NSAID) recalcitrant headache, recurrent nausea and vomiting, and subacute weight loss. The patient's symptoms began approximately 8 weeks prior to admission with a progressive 18-pound weight loss. This was followed by a bitemporal nonradiating and piercing headache approximately 1 week prior to admission ...

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