American Journal of Neuroradiology 26:2410-2414, October 2005
© 2005 American Society of Neuroradiology
Case Report
SPINE
Oligodendroglioma Metastatic to Bone Marrow
a Neurointerventional and Diagnostic Services, Borgess Medical Center, Kalamazoo, MI
b The Department of Radiology, University of Kentucky Medical Center, Lexington, KY
c Department of Oncology, West Michigan Cancer Center, Kalamazoo, MI
d Borgess Medical Center, Kalamazoo, MI
e Department of Neurosurgery, Borgess Medical Center, Kalamazoo, MI
Address correspondence to Firas Al-Ali, Borgess Medical Center, Neurosurgery of Kalamazoo PC, 1717 Shaffer St., Suite 124, Kalamazoo, MI 49048
Summary: We report on a patient with oligodendroglioma metastatic to bone, presenting with pancytopenia and fever 10 years after initial tumor resection. Our review of the literature showed a total of 30 reported extraneural metastases, with only 19 of these being similar cases of bone metastases. These bony lesions have increased signal intensity in T2-weighted and low signal intensity on T1-weighted images, with intense homogeneous enhancement. However, on MR imaging, we were unable to find necrosis or compression deformity of the vertebrae, despite extensive metastatic disease.