Pachymeningeal metastasis from squamous cell carcinoma of the uterine cervix with involvement of the optic nerve: case report and review of the literature

This report describes the case of a 50-year-old woman with carcinomatous meningitis from squamous cell carcinoma of the uterine cervix. Ultrasound showed an irregular hypoechoic mass in the cervix. Contrast enhanced computed tomography imaging revealed intense linear enhancement along the falx cerebri suggestive of pachymeningeal metastasis with involvement of the optic nerve. To our knowledge this is the first reported case of imaging features of isolated metastatic dural involvement from cervical carcinoma. Moreover, this is the first case of its kind in which dural involvement was diagnosed at presentation in a locally confined tumour.