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Acute pure motor hemiparesis is a clinical syndrome of isolated hemiparesis usually related to lacunar infarction,although other etiologies have been described.We recently encountered three patients with the abrupt onset of pure motor hemiparesis as the initial manifestation of primary or metastatic brain tumor.In each patient,early computed tomography demonstrated a nonhemorrhagic,right frontal,enhancing mass lesion.While the mechanism whereby brain tumor may present abruptly and simulate a stroke remains uncertain,these cases illustrate that pure motor hemiparesis can be the initial symptom of intracranial tumor.Early computed tomography or magnetic resonance imaging is suggested for all patients who present acutely with pure motor hemiparesis. |
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CAT scan
CAT scan,abnormal
CAT scan,contrast enhanced
cerebrovascular accident
glioma
neoplasm,metastatic to CNS
neoplasm,primary intracerebral
neoplasm,primary intracerebral,presenting as CVA
neoplasm,primary intracranial
neoplasm,primary of CNS
pure motor hemiplegia
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