PROSTATIC MENINGEAL CARCINOMATOSIS PRESENTING AS DELIRIUM-TREMENS

We report an unusual case of prostatic carcinomatous meningitis and re mind clinicians to maintain a high index of suspicion of meningeal inv olvement when patients with advanced prostatic cancer present with cer ebral symptoms, back pain, or neurologic findings. The diagnosis may r equire repeated cytologic examinations of cerebrospinal fluid, and imm unocytochemical stains should be considered to confirm a prostatic sou rce if malignant cells are identified. Androgen ablative therapy may g ive prolonged remissions, especially in patients with previously untre ated tumours.