December 2015 – Image of the Month

61 year-old man with diagnosis of acral lentiginous melanoma in the right hand index pT4bN1M0 (Stage IIIB) was treated with surgery. We proposed adjuvant treatment with interferon therapy and medical follow up, but the patient refused both. Two years later, he started with neurological symptoms: diplopia, facial pain, paresthesias and numbness and weakness of the upper and lower face, bilateral sensorineural deafness, along with dysarthria, dysphagia and hoarseness of voice. On the brain MRI we observed the following findings.

  • Date: 09 Dec 2015
  • Author: Lourdes Gutierrez Sanz, Beatriz Brea Alvarez, Judit Rubio Martínez
  • Affiliation: Puerta de Hierro University Hospital, Majadahonda, Madrid, Spain
December 2015
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What is the diagnosis?

The authors have no actual, potential, real or apparent interest to declare and have no involvement that might raise the question of bias in the work reported or in the conclusions, implications, or opinions stated.

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