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Low Spinal Fluid Sugar in Meningeal CarcinomatosisReport of a Case
T. R. KILPATRICK, JR., MD;
GEORGE A. PANKEY, MD
Arch Intern Med. 1966;117(5):658-660.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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CARCINOMATOSIS of the meninges is a term employed by Fischer-Williams and associates 1 to describe the rare condition in which metastatic implants of neoplastic cells grow on the leptomeninges without development of a tumor. Several types of intracranial tumors (primary and metastatic) can give rise to meningeal seeding, but most are associated with actual development of a tumor. Low spinal fluid sugar, in the absence of infection of the central nervous system, appears to be the most valuable diagnostic clue of neoplastic meningeal seeding. The cerebrospinal fluid is rarely examined for malignant cells, but this examination could well increase the diagnostic accuracy of meningeal carcinomatosis as it did in the following case.
Report of a Case
A 63-year-old white farmer was admitted to the Ochsner Clinic on May 5, 1965, because of progressively worsening low back pain associated with bilateral sciatica of 18 months' duration. He had consulted a number
. . . [Full Text PDF of this Article]
Author Affiliations
NEW ORLEANS
From the Alton Ochsner Medical Foundation (Dr. Kilpatrick) and the Department of Medicine, Ochsner Clinic (Dr. Pankey), New Orleans.
Footnotes
Received for publication Dec 9, 1965; accepted March 4, 1966.
Reprint requests to Alton Ochsner Medical Foundation, 1520 Jefferson Highway, New Orleans, La 70121 (Dr. Kilpatrick).
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