Impaired diagnosis and successful management of a rare intra-axial central nervous system plasmacytoma in a patient with multiple myeloma

Abstract

Intracranial central nervous system (CNS) plasmacytomas assoiated with multiple myeloma (MM) are exceptionally rare, and umors not involving either bone or dura are even rarer. This eport uniquely demonstrates a successful surgical approach in a 5-year old man with an intra-axial plasmacytoma as metastatic pread of MM. Initial diagnosis was uniquely challenging as magetic resonance (MR)-imaging findings were uncharacteristic for he lesion, and the patient had renal insufficiency which preluded the use of contrast-enhanced imaging. However, surgical anagement was clear due to clinical signs and imaging characeristics.