Abstract
A 20-year-old male patient admitted with intractable seizures and progressive dementia is presented. Magnetic resonance imaging (MRI) examinations revealed diffuse leptomeningeal thickening, enhancement especially in the basal cisterns and multiple cystic formations in the brain stem, temporal lobes and basal ganglia. The pathologic examination from the right temporal lobe was consistent with leptomeningeal sarcoma. Marked regression of the symptoms and MRI lesions were detected following radiotherapy.
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Aung TH, Tse CH: Bifrontal meningeal fibrosarcoma in a patient with metastases to the liver, kidneys and suprarenal glands. Aust NZ J Surg 63: 746-748, 1993
Bruner JM, Tien RD, Enterline DS: Tumors of the meninges and related tissues. In: Bigner DD, McLendon RE, Bruner JM (eds) Russel and Rubinstein's Pathology of Tumors of the Nervous System 6th edn., Arnold Publishers, London, 1998, pp 67-139
Thibodeau LL, Ariza A, Piepmeier JM: Primary leptomeningeal sarcomatosis. J Neurosurg 68: 802-805, 1988
Pfluger T, Weil S, Weis S, Bise K, Egger J, Hadorn HB, Hahn K: MRI of primary meningeal sarcomas in two children: differential diagnostic considerations. Neuroradiology 39: 225-228, 1997
Licandro AM, Giordano R, Morra M: Leptomeningeal sarcomatosis. Report of a clinical case. Acta Neurol 9: 297-301, 1987
Garbes AD: Cytologic presentation of primary leptomeningeal sarcomatosis. Acta Cytol 28: 709-712, 1984
Budka H, Pilz P, Guseo A: Primary leptomeningeal sarcomatosis. Clinicopathological report of six cases. J Neurol 211: 77-93, 1975
Onofrio BM, Kernohan JW, Uihlein A: Primary meningeal sarcomatosis. A review of literature and report of 12 cases. Cancer 15: 1197-1208, 1962
Rabson AS, Kirschstein RL: Intracranial sarcomas produced by polyoma virus in Syrian hamsters. Arch Pathol 69: 663-671, 1960
Scharf D: Neurocysticercosis: two hundred thirty eight cases from a California hospital. Arch Neurol 45: 777-780, 1988
White AC: Neurocysticercosis: a major cause of neurological disease worldwide. Clin Infect Dis 24: 101-113, 1997
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Uluc, K., Arsava, E.M., Ozkan, B. et al. Primary Leptomeningeal Sarcomatosis; A Pathology Proven Case with Challenging MRI and Clinical Findings. J Neurooncol 66, 307–312 (2004). https://doi.org/10.1023/B:NEON.0000014515.46358.5e
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DOI: https://doi.org/10.1023/B:NEON.0000014515.46358.5e