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Neuroradiologic findings in leptomeningeal carcinomatosis: the value interest of gadolinium-enhanced MRI.

par Rodesch, Georges;Van Bogaert, Patrick ;Mavroudakis, Nicolas ;Parizel, Paul M;Martin, Jean-Jacques ;Segebarth, Christoph ;Van Vyve, Mathieu ;Balériaux, Danielle ;Hildebrand, Jerzy
Référence Neuroradiology, 32, 1, page (26-32)
Publication Publié, 1990

Article révisé par les pairs

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Résumé :

Four patients with leptomeningeal metastases documented by neuroradiological examinations are reported. All had central nervous system or systemic neoplasms and showed clinical signs of carcinomatous meningitis. Gadolinium-enhanced MRI (Gd-MRI) disclosed for each patient pathological foci, allowing delineation of the extent of meningeal disease. Although non-specific, these findings, combined with the clinical context and CSF analysis, may lead to a rapid diagnosis and treatment of carcinomatous meningitis, even when malignant cells are not detected in the cerebrospinal fluid.