Presentation
Fall and head strike. Exclude intracranial hemorrhage.
Patient Data
Age: 70 years
Gender: Male
From the case:
Multiple myeloma affecting the skull base
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There is a soft tissue mass arising from the marrow of the clivus with cortical expansion and destruction. No local infiltration observed at this stage. A further osteolytic soft tissue mass is present at the right transverse process of C2.
Case Discussion
Typical location for myelomatous lesion in the skull base include Clivus, petrous apex, occipital condyle, greater wing of sphenoid with additional lytic foci of calvaria & facial bones.