Central Nervous System Metastases from Ewing's Sarcoma Case Report

Abstract

A 12-year-old boy presented with a rare case of intracranial metastasis 33 months after surgical treatment for Ewing's sarcoma of the rib. His chief complaints were headache, right hemiparesis, and disturbance of speech. Computed tomography revealed a large metastatic lesion in the left occipitoparietal region. The tumor was totally removed through an emergency operation. Seven months later the intracranial tumor recurred. Another operation was performed, but he showed spinal cord involvement at the T-10 level and died. The possibility of central nervous system metastasis should be considered in long-term follow-up survivors with Ewing's sarcoma. Copyright © 1994, The Japan Neurosurgical Society. All rights reserved.