European Journal of Biomedical and Pharmaceutical Sciences

FOR WHOM THE BELL TOLLS- RENAL SECONDARY IN CEREBELLUM

Manjeet Kumar*, Sunil Kumar, Kailash Chander Barwal, Girish Kumar Sharma, Anchana Gulati and Pamposh Raina

ABSTRACT

Introduction: Brain metastases occur in 9% of patients in renal cell carcinoma. Renal cell carcinoma presenting as ataxia as a result of Cerebellar metastasis is rarely seen. We present a case report of a patient presenting with cerebellar signs as result of brain metastasis from Renal cell carcinoma. Case Summary: A 55 years male with no comorbid illness, presented with ataxia, giddiness, and headache. The patient was examined by a physician and investigated. NCCT head revealed a cerebellar mass, suspicious of secondaries. Further Metastatic workup revealed a Left side heterogeneous renal mass of size 7 x 8 cm involving upper and midpole of the kidney. Left radical nephrectomy was done. Histopathology was suggestive of clear cell carcinoma. Later on, cerebellar metastasis was operated by a neurosurgeon. The patient could survive the surgery with 10th cranial nerve palsy. Conclusion: Metastatic renal cell carcinoma carries a worse outcome. However, solitary cerebellar metastasis may be cured by excision in a minority of patients.

Keywords: Brain metastases, Renal cell carcinoma, cerebellar metastases.