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Tectal metastasis

Case contributed by Frank Gaillard

Presentation

Headache and nausea, worse in the mornings and on stooping.

Patient Data

Age: Elderly
Gender: Female
mri

Selected images from an MRI demonstrate a cystic mass with peripheral enhancement which expands the quadrigeminal plate and causes obstructive hydrocephalus.

Note the presence of an additional peripherally enhancing mass in the parahippocampal gyrus on the right, consistent with a second metastasis. 

Case Discussion

This elderly woman with known metastatic breast cancer developed headaches and symptoms of raised intracranial pressure.

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