Multiple intracranial metastases from a gastric gastrointestinal stromal tumor.

Intracranial metastases are rare from gastrointestinal stromal tumor (GIST). We report a 60-year-old male with a history of stomach GIST who presented with ataxia 2.5 years after a partial gastrectomy. MRI revealed enhancing masses in the cerebellum and frontal lobe. A suboccipital craniotomy revealed metastatic GIST. With subsequent radiosurgical boost to the resection cavity and frontal lobe lesion, the patient is doing well 15 months postoperatively. To our knowledge, this is one of only a few reports on cerebral GIST metastases from the stomach.