Melanoma leptomeningeal dissemination following frontoparietal metastasis surgery: Case report and review of the literature.

Abstract:

:We present the case of a patient with a solitary left frontoparietal brain metastasis of melanoma previously treated with surgery. Three months later, the patient was admitted to the emergency room in a confusional state with meningeal signs. A cerebrospinal fluid (CSF) test and magnetic resonance imaging findings suggested a subarachnoid haemorrhage (SAH) and/or meningeal carcinomatosis. The results of a cytological examination of the CSF showed neoplastic epithelial cells consistent with metastatic melanoma cells. Resection of metastatic posterior fossa lesions is often cited as a risk factor for leptomeningeal dissemination, however, when the resection is limited to the anterior fossa, this complication is relatively rare. In contrast, SAH may be a complication of leptomeningeal dissemination and responsible for acute meningeal syndrome. Treatment with high doses of corticoids did not show any improvement, and intrathecal chemotherapy was not possible due to the patient's poor functional status. She succumbed 1 week after admission.

journal_name

Oncol Lett

journal_title

Oncology letters

authors

Moyano MS,Gutiérrez-Gutiérrez G,Rodríguez-Esteban I,Crespo GS,Casado E

doi

10.3892/ol.2010.194

subject

Has Abstract

pub_date

2010-11-01 00:00:00

pages

1101-1104

issue

6

eissn

1792-1074

issn

1792-1082

pii

ol-01-06-1101

journal_volume

1

pub_type

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