AJDRAJNR - American Journal of Neuroradiology

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Imaging Features of Intraventricular Melanoma

Andres Arbelaeza, Mauricio Castillo,a and Diane M. Armaoa

a From the Departments of Radiology (A.A., M.C.) and Pathology (D.M.A.), University of North Carolina School of Medicine, Chapel Hill.

Summary: We present the MR imaging findings in a patient with symptoms of increased intracranial pressure and a mass in the left lateral ventricle. The mass showed increased signal intensity on T1-weighted images and low signal intensity on T2-weighted images. The histologic diagnosis was that of melanoma, and detailed physical and funduscopic examinations disclosed no evidence of a primary lesion. We believe that the mass was a primary intraventricular melanoma, possibly arising from the choroid plexus, and we discuss the mechanisms that may be responsible for its occurrence in this location.




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