To the Editor: Carcinomatous meningitis is an underdiagnosed complication of solid tumors.
This case report highlights the need to maintain a high index of suspicion for carcinomatous meningitis in patients with a history of cancer who present with neurologic deficits.
occurs when tumor cells are seen in CSF.
1,2) Neuroradiological findings of metastatic lesions include lepto men ingeal involvement and carcinomatous meningitis
,3 miliary cerebral metastases, (4) and larger single or multiple densities, some with central necrosis, with or without hemorrhagic transformation.
A case of aseptic meningitis was defined as an illness with onset from June 1 to September 30, 2001; cerebrospinal fluid (CST) cell count of >5 leukocytes per milliliter; negative CSF bacterial cultures; and no physician or laboratory documentation of bacterial, fungal, or parasitic central nervous system (CNS) disease, cerebral hemorrhage, carcinomatous meningitis
, or cerebral vasculitis.