Extensive leptomeningeal seeding

Case contributed by A.Prof Frank Gaillard

Presentation

Previous ependymoma excised as a child.

Patient Data

Age: 30 years

Cx spine MRI

Modality: MRI

Extensive leptomeningeal enhancement is evident from the base of skull to the cauda equina, especially superiorly where nodular contrast enhancing tissue surrounds the medulla and contents of the posterior fossa (better seen on the recent MRI of the brain) and dorsal to the upper thoracic cord. No compression and no syrinx. 

Brain MRI

Modality: MRI

Prior left retrosigmoid craniotomy. Extensive cerebellopontine angle and leptomeningeal enhancement. 

Case Discussion

Extensive leptomeningeal CSF seeding, presumably from the prior resected ependymoma

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Case Information

rID: 44859
Case created: 6th May 2016
Last edited: 12th May 2016
Inclusion in quiz mode: Included

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