Background: Metastasis to the brain parenchyma is the single most frequent neurologic complication of several common neoplasms, including lung cancer, breast cancer, and melanoma. Case summary: A 50 year old male presented with right sided weakness with severe headache and mild respiratory distress. This patient presented with mainly symptoms of cerebral metastasis of lung carcinoma. He had some minor symptom of lung carcinoma that is exertional breathlessness which was so minor complaint that patient did not report it. CT scan revealed metastatic brain lesion. CT Scan of Chest revealed neoplastic lesion in the chest. CT guided FNAC confirmed the malignancy. Conclusion: Initially patient presented with hemiplegia which is not very common. Brain metastases often have a devastating impact on patients' quality of life and are fatal if not controlled.
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