[Skip to Navigation]
Other
February 1932

CARCINOMATOUS PACHYMENINGITIS: Report of a Case

Author Affiliations

Washington, D. C.

From St. Elizabeth's Hospital.

Arch NeurPsych. 1932;27(2):425-426. doi:10.1001/archneurpsyc.1932.02230140179014
Abstract

This case is reported briefly because of the unusually widespread dural metastasis of a carcinoma of the prostate.

REPORT OF CASE  A white man, aged 53, was operated on for a carcinoma of the prostate on June 6, 1930. The wound healed slowly, and the patient complained of pain in the legs and back. The suspicion of metastasis was verified by roentgen examination of the pelvis and vertebrae, and later some pulmonary foci were observed. The course was progressively downward, but no neurologic symptoms were found.Necropsy disclosed local recurrence of the malignant growth, with foci in the lungs and osseous system. When the scalp was reflected, wholesale invasion of the calvarium by malignant growth, especially on the left side, with irregular bosses about 5 mm. above the surface, was observed. Percussion of the skull yielded a soft, dull sound. The bone was easily cut and was somewhat thicker than

×