Cerebellar metastasis as a unique presenting feature of gastric cancer

Gastric cancer is often diagnosed in middle-aged patients undergoing upper gastrointestinal endoscopy for abdominal complaints or constitutional sympt oms, such as dyspepsia, vomiting or anorexia, weigh loss, anemia, jaundice, and ascites. Sometimes, all of these symptoms may be absent, and gastric c ancer is diagnosed after detection of metastases to target organs, such as the liver or lung. In a few rare cases, however, even these metastatic loca lizations may be absent, and clinical signs are only represented by atypica l symptoms caused by neurologic metastatic involvement. We report an except ionally rare case of gastric cancer in which the only presenting symptoms w ere headache and dizziness caused by a single cerebellar metastasis.