Physical Address

304 North Cardinal St.
Dorchester Center, MA 02124

New Onset Seizure With Prior History Of Melanoma


Consult Page

64M with history of melanoma presents with a seizure. Head CT concerning for mass/swelling

Initial Imaging

Figure 15.1, Axial head CT without contrast on initial consult in the ED demonstrates (A) a large 3.5 by 3 cm left parietal mixed-density lesion with (B) surrounding hypodensity consistent with edema.

Walking Thoughts

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    What is the patient’s current neurological exam and mental status?

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    What is the semiology of his seizure? Is he still seizing?

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    What is his melanoma history? Does he have any prior metastasis?

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    What is his baseline level of independence and function? What is his life expectancy?

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    Does he have any other medical comorbidities?

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    Does the patient take any anticoagulant or antiplatelet medications?

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