Spontaneous rupture of liver metastasis tumors with disturbance of consciousness and progression of hemiplegia as the first manifestation:a case report  

作　　者：Lingyi Chi Zhixuan Chen Wei Huang Zhibing Ai Xiaoqin Peng Yi Bao 

机构地区：[1]Department of Neurology,Taihe Hospital of Shiyan,Affiliated Hospital of Hubei Medical University,Shiyan 442000,China

出　　处：《Journal of Translational Neuroscience》2022年第4期17-25,共9页转化神经科学电子杂志（英文）

基　　金：Scientific Research Program of Hubei Provincial Department of Education in 2019(Q20192103).

摘　　要：Objective:rupture of liver metasta-ses with disturbance of consciousness accompanied by aggravation of hemiplegia is very rare.We describe the clinical features of a case of spontaneous rupture of liver metastasis tumors with disturbance of consciousness and progression of right limb hemiplegia.Methods:collect the patient's medical history,conduct a detailed physi-cal examination,timely improve the relevant laboratory and imaging examination,formulate a comprehensive treatment plan,and track the changes of the disease and the treatment effect.Results:the patient presented with blurred consciousness,hemiplegia of the right limb,and epigastric tenderness when admitted to the hospital.No evident new lesions were found on cranial computed to-mography(CT).Blood routine examination showed that hemoglobin decreased significantly compared with be-fore.Abdominal CT showed tumor rupture and bleeding.The patient in critical condition did not have operation conditions,but improved after conservative treatment.Conclusion:when patients with liver metastasis tumors suddenly have a disturbance of consciousness and prog-ress of hemiplegia,they should not only be considered to have acute cerebrovascular diseases,but also the possi-bility of rupture of liver metastasis tumors.If only treated according to acute stroke,it will endanger their lives.For the liver metastasis tumor rupture,if there is no oppor-tunity for embolotherapy,timely conservative treatment with drugs can also achieve good results.

关 键 词：liver metastasis tumors HEMIPLEGIA trousseau syndrome EMBOLOTHERAPY cerebral infarction 

分 类 号：R73-37[医药卫生—肿瘤]