Leptomeneningeal carcinomatosis with moderate hydrocephalus and calvarial metastases

Case contributed by Dr Mohammad A. ElBeialy

Presentation

History of breast cancer post MRM and chemoradiotherpay. Now presenting with delirium and disturbed level of conciousness as well as vomiting and urine incontinence for 2 months.

Patient Data

Age: 50 years
Gender: Female

  • diffuse leptomeningeal enhancement with hyperintense FLAIR signal seen smearing the cortical sulci as well as the basal cisterns.
  • moderate supratentorial hydrocephalus with transependymal interstitial CSF permeation.
  • altered marrow signal of the skull base and calvarial bones with hyointense T1 and T2 signal with heterogenous psot-contrast enhancment.   

Case Discussion

Leptomeningeal carcinomatosis and moderate hydrocephalus as well as calvarial matastases.

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Case information

rID: 23614
Case created: 27th Jun 2013
Last edited: 19th Dec 2016
Inclusion in quiz mode: Included

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