BRAIN TUMORSANEURYSMSVASCULAR MALFORMATIONSTRIGEMINAL NEURALGIASPINE NECK BACKPARKINSONS DISEASEHEMIFACIAL SPASMCARPAL TUNNEL SYNDROME


Case Presentation:

Metastatic Brain Tumors - Case 10

Metasatic Melanoma Brain Tumor

 

History and Physical


  • 73-year-old gentleman with history of shoulder melanoma and recent diagnosis of metastatic melanoma of right upper lobe of lung, and status post successful resection of this tumor who presented with metastatic tumor (melanoma) to the brain.

  • On examination, he had no focal neurological deficits.

 



Imaging


metastatic case10 img1

CT scan of the patient’s brain shows a tumor within posterior border of right temporal lobe of the brain.





Computer Navigation

  • Stereotaxy and computer navigation was utilized to localize and remove the tumor precisely, with surrounding neurovascular structures mapped out and protected.

  • Right temporal craniotomy approach was utilized.


metastatic case10 img2
Small circular bone flap is elevated using computer localization. The dura (covering of the brain) is exposed.


metastatic case10 img3
Dura is opened and the tumor which is stained dark is in the right upper corner of the exposure.




Pathology


metastatic case10 img4
H&E slide of lung tumor                           H&E slide of brain tumor


The pathology of the tumor confirmed diagnosis of melanoma (similar to lung tumor specimen).




Post-op Course

 

  • The patient did well postoperatively with no neurological deficit. He was discharged home and returned to baseline function.