Brain metastases represent an uncommon complication in malignant pleur
al mesothelioma. A 55-year-old mate suffering from malignant mesotheli
oma and pretreated with intracavitary chemotherapy and radiotherapy wa
s submitted to systemic chemotherapy including lomustine, carboplatin,
vinorelbine, fluorouracil and folates after diagnosis of bilateral ce
rebral deposits. The patient had an Impressive response to chemotherap
y, with complete regression of related symptoms. This case report repr
esents the first on response to chemotherapy of brain metastases from
mesothelioma. It points out that chemotherapy should be further explor
ed in this subset of patients.