A 39 year
old white male with a history of melanoma presented with a
one month history of headaches, nausea and vomiting, was
shown to have four intracranial lesions. Four cerebral
metastasis were identified on MRI.
He was treated with
radiation therapy and radiosurgery. Eight months after the
diagnosis of metastatic melanoma and four months after
radiosurgery, the patient presented with worsening
headaches.