Zuckerguss of the spine
Diagnosis almost certain
Updates to Case Attributes
Presentation
was changed:
Breast cancer. Clinically patient deteriorated in the past one week with severe paraesthesias over the spine and limb weakness, severe dizziness, one episode of fall
was diagnosed with a leptomeningeal spread in 2019.
Body
was changed:
The so called-called "sugar coating" or zuckerguss (German for sugar icing) is seen in post contrastpostcontrast images of the brain and spinal cord in patients with leptomeningeal drop metastases or leptomeningeal carcinomatosis.
It is relatively subtle if you are not looking for it and one can see this is new from the MR 4 months before.
Without contrast, it cannot be identified.
-<p>The so called "<strong>sugar coating</strong>" or <strong>zuckerguss</strong> (German for sugar icing) is seen in post contrast images of the brain and spinal cord in patients with leptomeningeal drop metastases or <a href="/articles/leptomeningeal-metastases">leptomeningeal carcinomatosis</a>.</p><p>It is relatively subtle if you are not looking for it and one can see this is new from the MR 4 months before.</p><p>Without contrast it cannot be identified.</p>- +<p>The so-called "<strong>sugar coating</strong>" or <strong>zuckerguss</strong> (German for sugar icing) is seen in postcontrast images of the brain and spinal cord in patients with leptomeningeal drop metastases or <a href="/articles/leptomeningeal-metastases">leptomeningeal carcinomatosis</a>.</p><p>It is relatively subtle if you are not looking for it and one can see this is new from the MR 4 months before.</p><p>Without contrast, it cannot be identified.</p>
Updates to Study Attributes
Findings
was changed:
The magnified view helps illustrate the sugar coated-coated appearances of the leptomeninges.
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