PMID: 9183449Jan 1, 1997Paper

Carcinomatous meningitis: rare complication of bladder cancer

La Revue de médecine interne
A HasbiniP Coninx

Abstract

The sites of metastases of transitional cell carcinoma of the bladder are nodes, liver, lung and bone, but the meningeal infiltration is rare. Therefore, one case of meningeal carcinomatosis is reported. After cystectomy for an undifferentiated carcinoma of the bladder, the patient received adjuvant chemotherapy. Three months after treatment completion, symptoms of cerebellar ataxia occurred and gradually confusion appeared. The initial cerebra spinal fluid showed clumps of malignant cells. The patient died 15 days after the neurological symptoms occurred. The clinical diagnosis of meningeal carcinomatosis is based on neurological manifestations at more than one level of the neuraxis. Symptoms may present simply as headache or confusion. Meningeal carcinomatosis from urothelial cancer seems to show some specific features: poorly differentiated tumour and high frequency of cerebellar symptoms. Intrathecal treatment essentially has a pain-effect. Mean survival time is as short as 20 weeks. The increasing incidence of this neurological complication in urothelial cancer does not only result from an increase in patient longevity but also from possible side-effects of chemotherapy, so as localized changes in blood-brain barrier perme...Continue Reading

Citations

Apr 13, 2005·Neuropathology : Official Journal of the Japanese Society of Neuropathology·Kaoru SugimoriYoshifumi Koshino
Jul 14, 2010·Southern Medical Journal·Casey D BowenChaitanya Pant

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