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Evaluation and Workup of Leptomeningeal Disease

  • Sushma Bellamkonda
  • David M. Peereboom
Chapter

Abstract

Leptomeningeal disease (LMD) is a devastating complication of cancer and a challenge to treat. This chapter addresses the evaluation and workup of LMD. Since a timely diagnosis can make a difference in the patient’s function and quality of life, it is imperative to be aware of the clinical presentation and diagnostic evaluation of LMD as it is a disease that can easily be missed. Neuroimaging and cerebrospinal fluid (CSF) analysis are the main diagnostic methods. Neuroimaging is more sensitive, whereas CSF analysis is more specific and together can bridge the gap in the diagnosis of LMD.

Keywords

Leptomeningeal disease Neoplastic meningitis Leptomeningeal carcinomatosis LMD Lumbar puncture CSF Biomarkers Circulating tumor cells Evaluation 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of NeurologyUniversity of Tennessee Health Science CenterMemphisUSA
  2. 2.Department of Medical Oncology, Taussig Cancer InstituteCleveland ClinicClevelandUSA
  3. 3.Rose Ella Burkhardt Brain Tumor and Neuro-oncology CenterCleveland ClinicClevelandUSA

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