Leptomeningeal metastases

Case contributed by Dr Vitalii Rogalskyi

Presentation

Female with previously treated breast cancer, presenting with headache and speech disturbance.

Patient Data

Age: 66 years
Gender: Female
CT

Some gyral enhancement in the right hemisphere. Multiple mixed bone metastases.

Annotated image

Leptomeningeal enhancement (red arrow).

Case Discussion

Post-contrast scans show gyriform enhancement in the right hemisphere of brain. There are a lot of mixed metastatic foci in the skull bones and С1-С2 vertebrae. These findings with anamnesis of breast cancer are suggestive of leptomeningeal metastases.

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Case information

rID: 65872
Published: 28th Jan 2019
Last edited: 31st Jan 2019
Inclusion in quiz mode: Included

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