Skull metastasis with dural extension

Case contributed by Dr Huda B. Gharbia


Known case of breast cancer, presented with headache.

Patient Data

Age: 60 years
Gender: Female

There are hyperintense expansile bony metastases in the left occipital bone, which show homogenous enhancement with extra-axial extension and pachymeningeal involvement. In addition is extension into the scalp soft tissues.

There is underlying subcortical white matter hyperintensity representing edema on T2W and FLAIR sequences.

Case Discussion

Pachymeningeal metastases from breast cancer can be from primary involvement of tumor or extension from adjacent bone metastases.

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Case information

rID: 64594
Published: 2nd Dec 2018
Last edited: 15th Aug 2019
Inclusion in quiz mode: Included

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