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Herein, we discuss the management of this unusual case to highlight the importance of recognising unusual central nervous system involvement of cancers, a problem which may be increasing in prevalence.<\/jats:p>","DOI":"10.1136\/bcr-2018-224354","type":"journal-article","created":{"date-parts":[[2018,8,1]],"date-time":"2018-08-01T11:04:44Z","timestamp":1533121484000},"page":"bcr-2018-224354","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Metastatic pancreatic adenocarcinoma presenting as an occipital haemorrhage"],"prefix":"10.1136","volume":"2018","author":[{"given":"Jessica Yan-Seen","family":"Ng","sequence":"first","affiliation":[{"name":"Surgery, Gold Coast University Hospital, Southport, Queensland, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"How","sequence":"additional","affiliation":[{"name":"Surgery, Gold Coast University Hospital, Southport, Queensland, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Schwindack","sequence":"additional","affiliation":[{"name":"Surgery, Gold Coast University Hospital, Southport, Queensland, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alfred","family":"Lam","sequence":"additional","affiliation":[{"name":"Pathology, Gold Coast University Hospital, Southport, Queensland, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,8,1]]},"reference":[{"key":"2025082707231028000_2018.aug01_1.bcr-2018-224354.1","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1016\/j.critrevonc.2012.04.001","article-title":"Brain metastases from gastrointestinal tumours: tailoring the approach to maximize the outcome","volume":"85","author":"Menis","year":"2013","journal-title":"Crit Rev Oncol Hematol"},{"key":"2025082707231028000_2018.aug01_1.bcr-2018-224354.2","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1007\/s12029-014-9667-y","article-title":"CNS involvement in pancreatic adenocarcinoma: a report of eight cases from the Johns Hopkins Hospital and review of literature","volume":"46","author":"Kumar","year":"2015","journal-title":"J Gastrointest Cancer"},{"key":"2025082707231028000_2018.aug01_1.bcr-2018-224354.3","first-page":"3899","article-title":"Stereotactic radiosurgery plays a critical role in enhancing long-term survival in a patient with pancreatic cancer metastatic to the brain","volume":"33","author":"Rajappa","year":"2013","journal-title":"Anticancer Res"},{"doi-asserted-by":"publisher","key":"2025082707231028000_2018.aug01_1.bcr-2018-224354.4","DOI":"10.1016\/j.dld.2003.10.019"},{"key":"2025082707231028000_2018.aug01_1.bcr-2018-224354.5","first-page":"1369","article-title":"[Metastases from cancers of unknown primary site. Data from 302 autopsies]","volume":"20","author":"Le Cesne","year":"1991","journal-title":"Presse Med"},{"key":"2025082707231028000_2018.aug01_1.bcr-2018-224354.6","first-page":"4599","article-title":"Long-term survival following resection of brain metastases from pancreatic cancer","volume":"31","author":"Lemke","year":"2011","journal-title":"Anticancer Res"},{"key":"2025082707231028000_2018.aug01_1.bcr-2018-224354.7","first-page":"208","article-title":"Five-year survival of metastatic pancreatic carcinoma: a study of courage and hope","volume":"3","author":"Chue","year":"2009","journal-title":"Gastrointest Cancer Res"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-224354","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:23:17Z","timestamp":1756304597000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-224354"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,8,1]]},"references-count":7,"alternative-id":["10.1136\/bcr-2018-224354"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-224354","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2018,8,1]]}}}