Abstract
Although primary and metastatic brain tumors can cause intracranial hemorrhage, thalamic
hemorrhage as the first presentation of an anaplastic astrocytoma has not been reported.
We report a 47-year-old man who first presented with hypertensive hemorrhagic stroke.
He improved with aggressive blood pressure control and recovered with minimal residual
deficit within 10 days. This led to the initial misdiagnosis of uncontrolled hypertension as the cause
of the stroke. He deteriorated rapidly 4 months later. A biopsy revealed an anaplastic astrocytoma. Misdiagnosis of tumor as
stroke can occur in patients with vascular risk factors who do not have a previous
history of neoplasia. Our case report is to heighten the awareness of the incidence
of tumor apoplexy masquerading as stroke.
Keywords
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© 2013 Elsevier Ltd. Published by Elsevier Inc. All rights reserved.
