RT Journal Article SR Electronic T1 Increased Uptake of Technetium-99m-Hexamethylpropyleneamine Oxime Related to Primary Leptomeningeal Melanoma JF American Journal of Neuroradiology JO Am. J. Neuroradiol. FD American Society of Neuroradiology SP 1404 OP 1406 VO 23 IS 8 A1 Takao Sagiuchi A1 Katsumi Ishii A1 Satoshi Utsuki A1 Yuuji Asano A1 Shinya Tsukahara A1 Shinichi Kan A1 Kiyotaka Fujii A1 Kazushige Hayakawa YR 2002 UL http://www.ajnr.org/content/23/8/1404.abstract AB Summary: We present an autopsy case of primary leptomeningeal melanoma visualized with technetium-99m-hexamethylpropyleneamine oxime (Tc-99m-HMPAO) single photon emission CT (SPECT) of the brain. Increased uptake of Tc-99m-HMPAO coincided with leptomeningeal enhancement on MR images and with the tumor location of the autopsy findings. It was thought that Tc-99m-HMPAO could correlate closely with melanoma. Tc-99m-HMPAO SPECT clearly showed primary leptomeningeal melanoma and severe hypoperfusion induced by intracranial hypertension and tumor proliferation.