Metastatic Skull Base Tumor From Thymic Carcinoma Mimicking Tolosa-Hunt Syndrome : —Case Report—
スポンサーリンク
概要
- 論文の詳細を見る
A 39-year-old male without contributory medical history had sustained progressive double vision, ptosis, and trigeminal pain for 2 weeks. Physical examination revealed total ophthalmoplegia and visual field defect with normal blood examination and chest radiography. Cranial computed tomography revealed a hyperdense mass in the left frontotemporal fossae with bony erosion. Magnetic resonance imaging confirmed a broad-based, intensely enhanced extraaxial tumor of 4×4×4 cm diameter with dural tail sign. Cerebral angiography demonstrated insignificant blood supply both from the internal carotid and middle meningeal arteries. Nearly total tumor resection was achieved via orbitofrontotemporal craniotomy. Intraoperative findings revealed the extraaxial tumor with broad attachment to the dura mater and invasion to the optic and oculomotor nerves. Histological examination revealed hypercellular tumor with significant cell atypism, mitotic activity, and focal necrosis. Immunohistochemical staining was positive for AE1/3 and c-kit, but negative for glial fibrillary acidic protein. Systemic examination performed postoperatively revealed a thymic tumor without additional remote lesions. The final diagnosis was metastatic brain tumor from thymic carcinoma. Rapid progression of neurological impairment inconsistent with a benign extraaxial tumor needs prompt surgical intervention.
著者
-
TSUTSUMI Satoshi
Department of Neurological Surgery, Juntendo University Urayasu Hospital
-
YASUMOTO Yukimasa
Department of Neurological Surgery, Juntendo University Urayasu Hospital
-
ITO Masanori
Department of Neurological Surgery, Juntendo University Urayasu Hospital
-
ABE Yusuke
Department of Neurological Surgery, Juntendo University Urayasu Hospital
-
SHIONO Saori
Department of Pathology, Juntendo University Urayasu Hospital
関連論文
- Pathological Laughter Caused by Frontal Glioblastoma
- Huge Supratentorial Extraventricular Anaplastic Ependymoma Presenting With Massive Calcification : Case Report
- Metastatic Skull Base Tumor From Thymic Carcinoma Mimicking Tolosa-Hunt Syndrome : —Case Report—
- Simultaneous Bilateral Vertebral Artery Occlusion in the Lower Cervical Spine Manifesting as Bow Hunter's Syndrome
- Neutron Inelastic Scattering Study on a Single Crystal of Tb_2Ti_2O_7,a Magnetically Frustrated Pyrochlore System
- A nonpulsatile total artificial heart with 1/R control
- A step forward for the undulation pump total artificial heart
- OXYGEN TRANSFER IN BIOREACTOR FOR CULTURE OF PLANT HAIRY ROOTS
- Antibodies to Helicobacter pylori and CagA protein are associated with the response to antibacterial therapy in patients with H. pylori-positive AP12-MALT1-negative gastric MALT lymphoma
- RELATIONSHIP BETWEEN HISTOPATHOLOGICAL FEATURES AND TYPE V PIT PATTERN DETERMINED BY MAGNIFYING VIDEOCOLONOSCOPY IN EARLY COLORECTAL CARCINOMA
- ピオグリタゾンは肥満型糖尿病の腎症を改善させる--腎臓の酸化反応を緩和する
- Fundamental study to develop a fiber-optic gap sensor for a rotary undulation pump
- Pathogenetic role of the tyrosine-phosphorylated CagA EPIYA sequence of Helicobacter pylori in histological gastritis in Japanese patients
- Clinical prevention of gastric cancer by Helicobacter pylori eradication therapy : a systematic review
- Relation between histologic gastritis and gastric motility in Japanese patients with functional dyspepsia : evaluation by transabdominal ultrasonography
- Depressed-type, early duodenal carcinoma (carcinoma in situ) treated by endoscopic mucosal resection
- ENDOSCOPIC DIAGNOSIS AND TREATMENT OF LOCAL RESIDUAL/RECURRENT LESIONS AFTER ENDOSCOPIC MUCOSAL RESECTION FOR EARLY COLORECTAL CARCINOMA
- Serum pepsinogen concentration as a marker of Helicobacter pylori infection and the histologic grade of gastritis ; evaluation of gastric mucosa by serum pepsinogen levels
- Effects of the Second National Acute Spinal Cord Injury Study of High-Dose Methylprednisolone Therapy on Acute Cervical Spinal Cord Injury-Results in Spinal Injuries Center
- Preliminary study of a new type of energy transmission system of artificial hearts
- Principle of the rotary undulation pump
- The prospect of a small-sized vibrating flow pump for an artificial heart
- A new hypothesis on the mechanism of calcification formed on a blood-contacted polymer surface
- Implantable total artificial heart: history and present status at the University of Tokyo
- Arteriovenous Fistula Arising From the Persistent Primitive Olfactory Artery With Dual Supply From the Bilateral Anterior Ethmoidal Arteries : Case Report
- Lumbar Congestive Myelopathy Mimicking Neoplasia Without Concurrent Vascular Malformation : Case Report
- Orbital Cavernous Hemangioma Presenting With Atypical Appearance : Case Report
- Pleural Malignant Mesothelioma Causing Cord Infiltration Through the Nerve Root : Case Report
- Basilar Apex Aneurysm Manifesting as Third Ventricular Mass and Obstructive Hydrocephalus
- Orbital Dermoid Cyst With Intratumoral Inflammatory Hemorrhage
- Atypical Cervical Astrocytoma Manifesting as Occipitalgia : Case Report
- Orbital Pseudotumor Associated With Retrobulbar Hematoma : Case Report
- Metastatic Brainstem Tumor Manifesting as Hearing Disturbance
- Multiple Meningeal Cysts Affecting the Whole Craniospinal Axis : Case Report
- Spinal Intramedullary Arteriovenous Malformation Draining into the Petrosal and Straight Sinuses resulting in Intraventricular Hemorrhage: A Case Report
- Asymptomatic Huge Congenital Arachnoid Cyst Successfully Treated by Endoscopic Surgery
- Rapid Growth of Congenital Diffuse Brain Tumor Considered to Be Teratoma
- Idiopathic Calvarial Thinning
- Infantile Arachnoid Cyst Compressing the Sacral Nerve Root Associated with Spina Bifida and Lipoma : Case Report
- Effect of Cetraxate, a Mucosal Protective Agent, on Gastric Mucosal Blood Flow and Gastric Clarithromycin Concentration in Nicotine-treated Rats
- Ecabet sodium induces neuronal nitric oxide synthase-derived nitric oxide synthesis and gastric adaptive relaxation in the human stomach
- Intramedullary Primitive Neuroectodermal Tumor Presenting With Rapidly-Progressive Cauda Equina Syndrome : Case Report
- Anaplastic Pleomorphic Xanthoastrocytoma With a Component of Anaplastic Astrocytoma Presenting as Skull Base Tumor Followed by Downward Extracranial Extension : Case Report
- Central Pontine and Extrapontine Myelinolysis in an Infant Associated With the Treatment of Craniopharyngioma
- Posterior Fossa Dural Arteriovenous Fistula As a Probable Cause of Congestive Myelopathy
- Atypical Dural Arteriovenous Fistula Associated With Meningitis
- Isolated Angiitis in the Hypothalamus Mimicking Brain Tumor
- Interlaminar Bony Fusion After Cervical Laminoplasty : Its Characteristics and Relationship With Clinical Results
- Tissue distribution of capsaicin receptor in the various organs of rats
- Chondrosarcoma With Atypical Clinical Presentation Treated by Gamma Knife Radiosurgery for Multiple Brain Metastases : Case Report
- Metastatic Skull Base Tumor From Thymic Carcinoma Mimicking Tolosa-Hunt Syndrome : Case Report
- Infantile Chronic Subdural Hematoma Infected by Escherichia Coli : Case Report
- Convexity En Plaque Meningioma Manifesting as Subcutaneous Mass: Case Report