Abstract:
:Deafness is a very common problem in older persons. We present a case of metastatic adenocarcinoma of the pancreas with deafness being the patient's only reason for seeking medical attention. The patient had bilateral vestibulocochlear nerve palsies with associated lower motor neurone facial nerve palsies and a bulbar palsy. Magnetic resonance imaging of his brain was unremarkable. It was only on post-mortem histology that tumour infiltrating the leptomeninges was demonstrated. Leptomeningeal metastases are rarely associated with adenocarcinoma of the pancreas. A review of the literature reveals only two other case reports of mestatic pancreatic carcinoma presenting with deafness but both had demonstrable temporal bone lesions on MRI as opposed to the meninges.
journal_name
Age Ageingjournal_title
Age and ageingauthors
Blows SJ,Morgan R,Dhariwal U,Petts G,Roncaroli Fdoi
10.1093/ageing/afs085subject
Has Abstractpub_date
2012-11-01 00:00:00pages
818-9issue
6eissn
0002-0729issn
1468-2834pii
afs085journal_volume
41pub_type
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