Leptomeningeal metastases in the spine

Case contributed by Dr Andrew Lawson

Presentation

Work-up in patient with known breast carcinoma.

Patient Data

Age: 31
Gender: Female

Multiple vertebral bodies return abnormal marrow signal consistent with the known history of diffuse skeletal metastases. The levels involved are; L3, T1, T2, T3 and T9. Normal vertebral body heights. The cauda equina roots are markedly thickened and demonstrate marked nodular enhancement extending from the level of the conus down to the sacrum consistent with leptomeningeal spread. Extensive nodular enhancement is demonstrated along the dural surface of the entire thoracic cord. Mild increased T2 signal seen diffusely within the thoracic cord.

Conclusion: Extensive leptomeningeal disease coating the thoracic cord and roots of the cauda equina with mild spinal cord oedema. Metastatic deposits within a number of vertebral bodies.

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Case information

rID: 26102
Case created: 29th Nov 2013
Last edited: 2nd Oct 2015
Inclusion in quiz mode: Included

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