nasopharyngeal carcinoma presenting with cavernous sinus involvement, trigeminal neuralgia and middle ear effusion

نویسندگان

a agrawal

n baisakhiya

sj vagh

sr joharapurkar

چکیده

abstract we reported and analyzed an unusual case of npc (nasopharyngeal carcinoma) where the patient had initial clinical features of cavernous sinus involvement followed by trigeminal neuralgia and middle ear dysfunction. in the present case, the initial involvement of the cavernous sinus resulted in the left sided third nerve involvement. later on, the extension of the tumor in and around the trigeminal ganglion resulted in facial pain. up to that point in time, a possibility of cavernous sinus lesion was considered and this caused a delay in the diagnosis. in accordance with the literature, this case illustrates that the tumor is difficult to diagnose during the early stages for multiple reasons, including: the non-specificity of the initial symptoms, and the difficulty of examining the postnasal space.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Nasopharyngeal carcinoma presented as cavernous sinus tumour.

A 32 year Libyan male presented with the complaints of headache and diplopia. He was diagnosed with a cavernous sinus meningioma on the basis of MRI findings but no initial biopsy was taken. Depending on the radiologic diagnosis the patient was treated with gamma knife surgery twice, abroad. During follow up he developed left ear deafness and left cervical lymph adenopathy. An ENT evaluation wi...

متن کامل

Allergy and recurrent middle ear effusion

Objectives: The aim of this study was to compare the otitis media with effusion (OME) groups that improved when treated with adenoidectomy and Ventilation Tube (VT), to the group of the recurred after surgery and detect the possible role of allergy in OME. Material and Methods: This study was performed on two groups. The Patient group consisted of 38 patients with recurrent OME with allergy an...

متن کامل

Pearls & Oy-sters: bilateral cavernous sinus syndrome as presenting manifestation of nasopharyngeal carcinoma.

CASE REPORT A 48-year-old man presented to our hospital with an acute-onset, severe, persistent holocranial headache of 3 months’ duration. He also noted binocular horizontal diplopia, drooping of the left eyelid, and inward deviation of the left eye that began at the same time as the headache. The symptoms worsened gradually and within a few weeks he developed drooping of the right eyelid as w...

متن کامل

Ventilation tubes in middle ear effusion post-nasopharyngeal carcinoma radiation: To insert or not?

BACKGROUND Postirradiation otitis media with effusion (OME) due to transient edema and dysfunction of the eustachian tube is the most common radiotherapy-associated otologic complication in nasopharyngeal cancer (NPC) patients. However, it can be seen in other head and neck cancers whose field of radiation includes the nasopharynx. Whether to insert ventilation tubes in these patients remains c...

متن کامل

Metastatic Renal Cell Carcinoma Mimicking Trigeminal Schwannoma in a Patient Presenting with Trigeminal Neuralgia

We present an unusual case of a metastatic renal cell carcinoma (RCC) mimicking trigeminal schwannoma. The patient, with no prior history of RCC, presented with clinical symptoms and imaging consistent with trigeminal neuralgia secondary to trigeminal schwannoma. Magnetic resonance imaging of the brain showed a large bilobed cystic/solid mass primarily in the cerebellopontine angle cistern, wit...

متن کامل

Trigeminal schwannoma presenting as atypical trigeminal neuralgia and masseter atrophy.

A 58-year-old man presented with progressive paresthesia and constant pain at left temporal and anterior auricular area for four months, who characterized the pain as sharp and lancinating in moderate to severe degree, with radiation to lower face, and aggravated while chewing. Two months later, he noticed progressive buccal muscle wasting. Neurologic examination (NE) showed sensory impairment ...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
iranian journal of cancer prevention

جلد ۲، شماره ۴، صفحات ۰-۰

کلمات کلیدی
[ ' n a s o p h a r y n g e a l c a n c e r ' , ' p t o s i s ' , ' t r i g e m i n a l n e u r a l g i a ' , ' c a v e r n o u s s i n u s r e f e r e n c e s 1 . r e g a u d c . l y m p h o ' , ' é p i t h e l i o m e d e l & ' , ' # 0 3 9 ' , ' h y p o p h a r y n x t r a i t é p a r l a r o e n t g e n t h é r a p i e . b u l l s o c f r a n c o t o r h i n o l a r y n g o l . 1 9 2 1 ' , 3 4 , 2 0 9 , ' 2 1 4 . 2 . s c h m i n c k e a . ü b e r l y m p h o e p i t h e l i a l e g e s c h w ü l s t e . b e i t r p a t h o l a n a t . 1 9 2 1 ' , 6 8 , 1 6 1 , ' 1 7 0 . 3 . c h a n g e t ' , ' a d a m i h ' , ' o . t h e e n i g m a t i c e p i d e m i o l o g y o f n a s o p h a r y n g e a l c a r c i n o m a . c a n c e r e p i d e m i o l b i o m a r k e r s p r e v . 2 0 0 6 ' , ' 1 5 ( 1 0 ) ' , ' 1 7 6 5 7 7 . 4 . b r e n n a n b . n a s o p h a r y n g e a l c a r c i n o m a . o r p h a n e t j r a r e d i s . 2 0 0 6 ' , ' 2 6 ( 1 ) ' , ' 2 3 . 5 . w e i w i ' , ' s h a m j s t ' , ' c h o y d ' , ' z o n g y ' , ' n g m h . t h e e f f i c a c y o f f i b e r o p t i c e n d o s c o p i c e x a m i n a t i o n a n d b i o p s y i n t h e d e t e c t i o n o f e a r l y n a s o p h a r y n g e a l c a r c i n o m a . x a 0 x a 0 x a 0 x a 0 x a 0 x a 0 c a n c e r . 1 9 9 1 ' , ' 6 7 ( 1 2 ) ' , 3 1 2 7 , ' 3 1 3 0 . 6 . c h a n j k c ' , ' p i l c h b z ' , ' k u o t t ' , ' w e n i g b m ' , ' l e e a w m . t u m o r s o f t h e n a s o p h a r y n x ' , ' i n t r o d u c t i o n i n p a t h o l o g y a n d g e n e t i c s o f h e a d a n d n e c k t u m o u r s ( w o r l d h e a l t h o r g a n i z a t i o n c l a s s i c a t i o n o f t u m o u r s ) ' , ' l . b a r n e s ' , ' j . w . e v e s o n ' , ' p . r e i c h a r t ' , ' a n d d . s i d r a n s k y ' , ' e d s . i a r c p r e s s ' , ' l y o n ' , ' f r a n c e ' , ' p p . 8 2 8 4 ' , ' 2 0 0 5 . 7 . w e i w i ' , ' s h a m j s . n a s o p h a r y n g e a l c a r c i n o m a . l a n c e t . 2 0 0 5 ' , 3 6 5 , 2 0 4 1 , ' 5 4 . 8 . j e y a k u m a r a ' , ' b r i c k m a n t m ' , ' j e y a k u m a r a ' , ' d o e r r t . r e v i e w o f n a s o p h a r y n g e a l c a r c i n o m a . e a r n o s e t h r o a t j . 2 0 0 6 ' , ' 8 5 ( 3 ) ' , 1 6 8 , 7 0 , 1 7 2 , 3 , ' 1 8 4 . 9 . d u b r u l l e f ' , ' s o u i l l a r d r ' , ' h e r m a n s r . e x t e n s i o n p a t t e r n s o f n a s o p h a r y n g e a l c a r c i n o m a . e u r r a d i o l . 2 0 0 7 ' , ' 1 7 ( 1 0 ) ' , 2 6 2 2 , ' 3 0 . 1 0 . y a n g m s ' , ' c h e n c c ' , ' c h e n g y y ' , ' h u n g h c ' , ' c h e n w h ' , ' l e e m c ' , ' l e e c w ' , ' l e e s k . n a s o p h a r y n g e a l c a r c i n o m a s p r e a d i n g a l o n g t h e e u s t a c h i a n t u b e ' , ' t h e i m a g i n g a p p e a r a n c e . j c h i n m e d a s s o c . 2 0 0 4 ' , ' 6 7 ( 4 ) ' , 2 0 0 , ' 3 . 1 1 . t a g u c h i j ' , ' s a t o m ' , ' s a s a k i m ' , ' o z a k i m ' , ' h a n a d a m ' , ' k u y a m a j ' , ' h a y a k a w a t . [ a c a s e w i t h n a s o p h a r y n g e a l c a r c i n o m a e x t e n d i n g i n t o t h e c a v e r n o u s s i n u s ] [ a r t i c l e i n j a p a n e s e ] n o s h i n k e i g e k a . 1 9 9 7 ' , ' 2 5 ( 1 0 ) ' , 9 3 9 , ' 4 2 . 1 2 . c h o n g v f ' , ' f a n y f ' , ' k h o o j b . n a s o p h a r y n g e a l c a r c i n o m a w i t h i n t r a c r a n i a l s p r e a d ' , ' c t a n d m r c h a r a c t e r i s t i c s . j c o m p u t a s s i s t t o m o g r . 1 9 9 6 ' , ' 2 0 ( 4 ) ' , 5 6 3 , ' 9 . 1 3 . a m p i l f l ' , ' h e l d m a n n m ' , ' i b r a h i m a m ' , ' b a l f o u r e l . i n v o l v e m e n t o f t h e c a v e r n o u s s i n u s b y m a l i g n a n t ( e x t r a c r a n i a l ) t u m o u r ' , ' p a l l i a t i o n i n s i x c a s e s w i t h o u t s u r g e r y . j c r a n i o m a x i l l o f a c s u r g . 2 0 0 0 ' , ' 2 8 ( 3 ) ' , 1 6 1 , ' 4 . 1 4 . d i n g j h ' , ' h u c s ' , ' p e n g w j ' , ' z h o u z r ' , ' t a n g f ' , ' m a o j . [ e v a l u a t i o n o f m r i i n n a s o p h a r y n g e a l c a r c i n o m a w i t h c a v e r n o u s s i n u s i n f i l t r a t i o n ] [ a r t i c l e i n c h i n e s e ] z h o n g h u a z h o n g l i u z a z h i . 2 0 0 6 ' , ' 2 8 ( 7 ) ' , 5 3 0 , ' 2 . 1 5 . k i n g a d ' , ' k e w j ' , ' t o n g m ' , ' l e u n g s f ' , ' l a m w w ' , ' m e t r e w e l i c ' , ' v a n h a s s e l t c a . m a g n e t i c r e s o n a n c e i m a g i n g o f t h e e u s t a c h i a n t u b e i n n a s o p h a r y n g e a l c a r c i n o m a ' , ' c o r r e l a t i o n o f p a t t e r n s o f s p r e a d w i t h m i d d l e e a r e f f u s i o n . a m j o t o l . 1 9 9 9 ' , ' 2 0 ( 1 ) ' , 6 9 , ' 7 3 . 1 6 . l e o n g j l ' , ' f o n g k w ' , ' l o w w k . f a c t o r s c o n t r i b u t i n g t o d e l a y e d d i a g n o s i s i n n a s o p h a r y n g e a l c a r c i n o m a . j l a r y n g o l o t o l . 1 9 9 9 ' , ' 1 1 3 ( 7 ) ' , 6 3 3 , ' 6 . 1 7 . t a n g a z ' , ' z e n g g ' , ' z h o u y ' , ' l a n x h ' , ' s u d k . [ u s e f u l n e s s o f c t s c a n i n s e c r e t o r y o t i t i s m e d i a i n p a t i e n t w i t h n a s o p h a r y n g e a l c a r c i n o m a ] [ a r t i c l e i n c h i n e s e ] l i n c h u a n g e r b i y a n h o u k e z a z h i . 2 0 0 0 ' , ' 1 4 ( 8 ) ' , 3 5 9 , ' 6 1 . 1 8 . c o o p e r j s ' , ' l e e h ' , ' t o r r e y m ' , ' h o c h s t e r h . i m p r o v e d o u t c o m e s e c o n d a r y t o c o n c u r r e n t c h e m o r a d i o t h e r a p y f o r a d v a n c e d c a r c i n o m a o f t h e n a s o p h a r y n x ' , ' p r e l i m i n a r y c o r r o b o r a t i o n o f t h e i n t e r g r o u p e x p e r i e n c e . i n t j r a d i a t o n c o l b i o l p h y s . 2 0 0 0 ' , 4 7 , 8 6 1 , ' 6 . 1 9 . k a l o g e r a ' , ' f o u n t z i l a a ' , ' k a r a n i k o l a s d ' , ' k a t o d r i t i s n ' , ' s a m a n t a s e ' , ' s a r a f o p o u l o s a ' , ' i k o n o m o u i ' , ' z a m b o g l o u n ' , ' t s e l i s n ' , ' d i m i t r i a d i s a s ' , ' f o u n t z i l a s g ' , ' a j c c ( a m e r i c a n j o i n t c o m m i t t e e o n c a n c e r ) . p r o g n o s t i c f a c t o r s a n d s i g n i f i c a n c e o f t h e r e v i s e d 6 t h e d i t i o n o f t h e a j c c c l a s s i f i c a t i o n i n p a t i e n t s w i t h l o c a l l y a d v a n c e d n a s o p h a r y n g e a l c a r c i n o m a . s t r a h l e n t h e r o n k o l . 2 0 0 6 ' , ' 1 8 2 ( 8 ) ' , 4 5 8 , ' 6 6 . ' ]

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023