Metastatic brain tumors are the most common brain masses in adults however it is rare for them to arise from colon cancer. We present a case of a metastatic colon cancer to the brain in a 68 year old male who presented with facial trauma after a fall he sustained secondary to neurological symptoms. He underwent computed tomography and magnetic resonance imaging of the head which revealed a brain mass. The mass was subsequently surgically resected and the diagnosis was confirmed. He went on to receive radiation therapy afterwards. In patients with a history of colon cancer, it is important for clinicians to be aware of the known risk factors for the development of brain metastases in order to best screen for these patients and optimize their prognosis. When brain metastases are discovered, multimodal therapy with surgery, radiation therapy, and chemotherapy provides patients with the most optimal survival.
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