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KMID : 1099620090060040285
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Korean Journal of Spine
2009 Volume.6 No. 4 p.285 ~ p.289
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Spinal Cord Malignant Melanoma with Leptomeningeal Metastasis: A Case Report
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Choi Dae-Han
Lee Sang-Gu
Park Chan-Woo
Kim Woo-Kyung
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Abstract
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The authors report a rare case of spinal malignant melanoma with leptomeningeal metastasis. A 35?year?old female had suffered from motor weakness and paresthesia in the lower extremities for1month. Thoracic magnetic reso- nance imaging(MRI) revealed intradural mass at T8 and T9 level. Total laminectomy T6 to T9 and grossly total removal of the intradural mass were performed. Histopathological investigation confirmed the malignant melanoma. Seven days after operation the patient complained of headache, dizziness, and pain on neck and left upper extre- mity, so brain and cervical MRI were checked.MRI showed multifocal parenchymal lesions which were compatible with the leptomeningeal metastasis of the malignant melanoma. The prognosis of malignant melanoma with lepto- meningeal metastasis is very poor. The clinical, radiologic, and pathologic features are reviewed.
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KEYWORD
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Leptomeningeal metastasis, Malignant melanoma, Spinal cord
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