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Leptomeningeal metastasis with urological presentation
Singapore Medical Journal
|June 1, 1997
Summary
Leptomeningeal metastases, a growing concern in cancer survivors, can present subtly. This case highlights urinary incontinence as a potential sole symptom, emphasizing the need for neurogenic cause evaluation.
Area of Science:
- Neurology
- Oncology
Background:
- Clinical leptomeningeal metastases from solid tumors are increasing due to improved cancer survival.
- Presentation varies based on neurological involvement.
Observation:
- A case of leptomeningeal metastasis from an unknown primary source presented with isolated urinary incontinence.
- Urinary incontinence is common and often functional, but neurogenic causes must be considered.
Findings:
- Urodynamic studies and electrophysiological assessments are valuable for excluding neurogenic causes.
- Spinal MRI is essential for identifying anatomical lesions.
Implications:
- This case underscores the importance of considering leptomeningeal metastasis in patients with unexplained urinary incontinence.
- Early diagnosis and investigation are crucial for effective management of neurological complications in cancer patients.