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A cranial MRI was performed to investigate these symptoms.

Figure 1: MRI showing right solid extra-axial parieto-occipital lesion with typical characteristics of meningeal myelomatosis.The tumor immunophenotype shows lambda light chain restriction.The rest of the markers analyzed were negative (EMA, CD56, CD117, CD20, CD79a, and CD3).This presentation confers an ominous prognosis and must be a suspect diagnosis in patients diagnosed with multiple myeloma presenting neurological symptoms.Plasma cell tumors are characterized by proliferation of monoclonal plasma cells.

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Meningeal involvement is a rare presentation with an ominous prognosis for patients [6].

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