TY - CHAP M1 - Book, Section TI - Brain Metastases A1 - Hall, Allison A1 - Jain, Pooja A1 - Brodbelt, Andrew A2 - Young, Alison A2 - Board, Ruth E. A2 - Leonard, Pauline A2 - Cooksley, Tim A2 - Stewart, Andrew A2 - Michie, Caroline PY - 2020 T2 - Problem Solving in Acute Oncology, 2e AB - A 54-year-old male smoker presented with a 5 day history of expressive dysphasia and a 24 h history of confusion and headache. He had no other neurological symptoms or signs and was otherwise fit and well.A brain CT scan showed multiple ring-enhancing lesions in both cerebral hemispheres surrounded by marked oedema. The oedema was causing 11 mm of midline shift. Appearance was consistent with multiple brain metastases.What is the immediate management of this patient?What investigations does the patient need?When does surgery play a role?What other treatment modalities might be considered for patients with brain metastases? SN - PB - Association of Cancer Physicians CY - New York, NY Y2 - 2021/03/05 UR - hemonc.mhmedical.com/content.aspx?aid=1167764484 ER -