Meningeal gliomatosis presenting as multiple cerebral infarcts: a case report.
A 70-year-old man presented to the hospital with a history of progressive cognitive decline, and shortly after admission he developed sudden neurologic deterioration leading to coma. CT revealed multiple contrast-enhancing lesions within the cerebral hemispheres and midbrain tectum. Autopsy revealed a left occipital glioblastoma associated with widespread meningeal dissemination of tumor, occlusive vasculopathy, and multifocal infarcts.
Moonis
M
M
Department of Neurology, University of Massachusetts Medical Center, Worcester 01655-0125, USA.
Smith
T W
TW
D000368:Aged; D001922:Brain Abscess / Q000175:diagnosis; D001932:Brain Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D002544:Cerebral Infarction / Q000175:diagnosis / Q000209:etiology*; D015161:Dementia, Multi-Infarct / Q000209:etiology; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D017809:Fatal Outcome; D005909:Glioblastoma / Q000150:complications / Q000000981:diagnostic imaging / Q000556:secondary*; D006801:Humans; D008297:Male; D008577:Meningeal Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000556:secondary*; D009778:Occipital Lobe; D014057:Tomography, X-Ray Computed