HOME > Weekly Case > Weekly Case
Weekly Case
종결
Case No. 393
2015-12-01~2015-12-31
출제자 : 강경미
Hit : 364
| Period | 2015-12-01~2015-12-31 |
|---|---|
| Diagnosis | Leptomeningeal metastasis |
| Clinical information | M/59 C.C> 성격 변화, 두통, 두달전부터 CI> Known lung cancer on chemotherapy |
| Discussion | Leptomeningeal metastasis - Poor prognosis - Lung cancer m/c – 5% of NSCLC MR findings of leptomeningeal carcinomatosis - focal or diffuse, nodular or linear enhancement of leptomeninges along the brain sulci and cisterns - 30% false negative 2 cases of unfamiliar brain MR findings - symmetrical curvilinear or band-like cytotoxic edema without enhancement - along the surface of brainstem and middle cerebellar peduncles - reflect microinfarctions caused by perivascular tumor infiltration Reference> Medicine 2015; 94(29):e1053 |
| Correct answer |
Correct Answer
Semi-Correct Answer |