Pearls Oy-sters: Primary Pineal Melanoma With Leptomeningeal Carcinomatosis

摘要

A 62-year-old man presented with 5 months of rapidly progressive bilateral hearing loss. He was evaluated by a local provider who ascribed his symptoms to normal aging and prescribed hearing aids. The patient then developed intermittent binocular diplopia. He denied personal or family history of malignancy.