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Posterior fossa plasmacytoma: computed tomographic findings
Computerized Radiology : Official Journal of the Computerized Tomography Society
|March 1, 1986
Summary
A patient with multiple myeloma experienced neurological symptoms due to an intracranial plasmacytoma, a rare complication. This case highlights the importance of considering brain lesions in myeloma patients, even without systemic recurrence.
Area of Science:
- Neurology
- Oncology
- Radiology
Background:
- Multiple myeloma is a plasma cell malignancy.
- Intracranial involvement in multiple myeloma is uncommon.
- Plasmacytomas can occur as isolated tumors.
Observation:
- A patient with a history of multiple myeloma presented with new neurological deficits.
- CT imaging revealed a posterior fossa mass.
- The mass was pathologically diagnosed as a plasmacytoma.
Findings:
- The intracranial plasmacytoma was confirmed without evidence of bone involvement.
- No systemic signs of myeloma recurrence were present at the time of neurological symptom onset.
- This case represents an isolated intracranial manifestation of multiple myeloma.
Implications:
- Intracranial plasmacytomas are a rare but significant complication of multiple myeloma.
- Neurological symptoms in myeloma patients warrant thorough investigation for intracranial lesions.
- CT findings and differential diagnosis of intracranial masses are crucial in managing these patients.