Abstract:
:A 77-year-old man with a 9-year history of prostate cancer presented with high fever and dysphagia. The initial diagnosis was aspiration pneumonia, but the patient became comatose 2 days after admission, and neuroradiological workup revealed cerebellar hemorrhage, obstructive hydrocephalus, and extensive destruction of the occipital bone secondary to cranial metastasis. The diagnosis was cerebellar hemorrhage secondary to cranial metastasis of prostate cancer. Tumor resection was abandoned because of the patient's poor health. Shunt surgery and palliative radiotherapy were temporarily effective in restoring his consciousness, but he died of systemic infection 3 weeks after surgery. Metastasis of prostate cancer to the cranium, particularly to the skull base, rarely causes lower cranial nerve paresis, and awareness of this sign may lead to earlier detection of the cranial metastasis and prevention of cerebellar hemorrhage.
journal_name
Neurol Med Chir (Tokyo)journal_title
Neurologia medico-chirurgicaauthors
Inamasu J,Nakamura Y,Saito R,Kuroshima Y,Mayanagi K,Orii M,Ichikizaki Kdoi
10.2176/nmc.44.82keywords:
subject
Has Abstractpub_date
2004-02-01 00:00:00pages
82-5issue
2eissn
0470-8105issn
1349-8029pii
JST.JSTAGE/nmc/44.82journal_volume
44pub_type
杂志文章abstract::A 41-year-old female suffered transient ischemic attack. Cerebral angiography revealed occlusion of the left internal carotid artery at the cervical portion and collateral pathways consisting of transpial anastomosis and parenchymal anastomosis from the posterior circulation. Five years later, the second angiography w...
journal_title:Neurologia medico-chirurgica
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journal_title:Neurologia medico-chirurgica
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