Unexpected diagnosis of spinal leptomeningeal metastatic disease on MRI myelography. (August 2019)

• Record Type: Journal Article
• Authors: Lasocki, Arian; Phillips, Kelly-Anne; Drummond, Katharine; Caspersz, Lauren
• Is Part Of: Journal of clinical neuroscience. Volume 66(2019)
• Page Start: 259
• Page End: 261
• Publication Date: 2019-08
• Subjects: Meningeal carcinomatosis -- Magnetic Resonance Imaging -- Cauda equina; Brain -- Surgery -- Periodicals; Neurosciences -- Periodicals; Nervous system -- Surgery -- Periodicals; Brain -- surgery -- Periodicals; Neurosurgical Procedures -- Periodicals; Neurosciences -- Periodicals; Electronic journals; 616.8
• DOI: 10.1016/j.jocn.2019.05.008
• Languages: English
• ISSNs: 0967-5868

Abstract

Highlights: MRM is a promising tool for identifying leptomeningeal metastatic disease. The heavy T2-weighting of MRM provides exquisite detail of the cauda equina. The cauda equina and associated pathology are best assessed in the coronal plane. Abstract: We present a case of leptomeningeal metastatic disease to the cauda equina detected on Magnetic Resonance myelography. The heavy T2-weighting and small field-of-view of this MRI technique are designed to detect CSF leaks, but also provide exquisite detail of the cauda equina and any associated nodularity. Magnetic Resonance myelography thus shows promise as an adjunct to the MRI evaluation of patients with suspected leptomeningeal metastatic disease and other tumours affecting the cauda equina.