Abstract
Breast cancer is a prevalent malignancy and a leading cause of cancer-related mortality among women. A subset of women present with primary disseminated disease, with bone being a frequent site of metastatic involvement. However, metastatic spread to the base of the skull is rare, asymptomatic, and often difficult to diagnose. The authors present a case of an elderly female patient in her early 80s with advanced breast cancer who had bone metastases limited to the base of the skull at the time of diagnosis.