title: Carcinoid carcinomatous meningitis.
abstract: A 67-year-old woman with metastatic carcinoid tumor developed neurologic signs and symptoms of left facial paralysis and progressive lower extremity weakness. Results of cytologic evaluation of cerebrospinal fluid were normal. However, biochemical analysis of the cerebrospinal fluid showed extreme elevations of 5-hydroxyindoleacetic acid and serotonin, consistent with carcinomatous meningitis caused by carcinoid tumor. Subsequent contrast myelography confirmed the presence of meningeal metastases.
authors.forename: R A
authors.initials: RA
authors.lastname: Nagourney
authors.forename: R
authors.initials: R
authors.lastname: Hedaya
authors.forename: M
authors.initials: M
authors.lastname: Linnoila
authors.forename: P S
authors.initials: PS
authors.lastname: Schein
mesh_terms: D000368:Aged; D001099:Arachnoid; D002276:Carcinoid Tumor / Q000134:cerebrospinal fluid / Q000523:psychology / Q000556:secondary*; D003863:Depression / Q000209:etiology; D005260:Female; D006801:Humans; D006897:Hydroxyindoleacetic Acid / Q000134:cerebrospinal fluid; D008577:Meningeal Neoplasms / Q000134:cerebrospinal fluid / Q000523:psychology / Q000556:secondary*; D010841:Pia Mater; D012701:Serotonin / Q000134:cerebrospinal fluid
chemical_list: D012701:Serotonin; D006897:Hydroxyindoleacetic Acid