Confusion and altered behaviour? Cause

We describe the case of a 65-year-old man who presented with confusion and change in behaviour, and describe the investigative steps that were taken before a diagnosis was made. This patient was eventually diagnosed with leptomeningeal carcinomatosis secondary to a previously undiagnosed oesophageal...

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Bibliographic Details
Published in:BMJ case reports 2013-01, Vol.2013, p.bcr2012007960
Main Authors: Lobo, Ronstan, Pillay, Isweri, Kennedy, Barry, Watts, Michael
Format: Article
Language:English
Subjects:
Abdomen
Aged
Carcinoma - complications
Carcinoma - diagnosis
Carcinoma - secondary
Case reports
Cellular biology
Cerebrospinal fluid
Confusion - etiology
Esophageal cancer
Esophageal Neoplasms - diagnostic imaging
Esophageal Neoplasms - pathology
Europe (West)
Glucose
Herpes viruses
Humans
Male
Medical imaging
Meningeal Carcinomatosis - complications
Meningeal Carcinomatosis - diagnosis
Meningeal Carcinomatosis - secondary
Meningitis
Mental Disorders - etiology
Myth Exploded
Neutrophils
Radiography
White
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Summary:We describe the case of a 65-year-old man who presented with confusion and change in behaviour, and describe the investigative steps that were taken before a diagnosis was made. This patient was eventually diagnosed with leptomeningeal carcinomatosis secondary to a previously undiagnosed oesophageal carcinoma.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2012-007960