다발성 뇌신경마비를 보인 간세포 암의 두개저 전이

• 영문명: Metastatic Hepatocelluar Carcinoma to the Skull Base with Manifestation of Multiple Cranial Nerves Palsies
• 발행기관: 대한두개저학회
• 저자명: 고병수(Byung-Soo Ko) 정신(Shin Jung) 문경섭(Kyung-Sub Moon) 조성범(Sung-Bum Cho)
• 간행물 정보: 『대한두개저학회지』제2권 제1호, 49~51쪽, 전체 3쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2007.10.30

영문 초록

We experienced the patient of HCC metastasizing to the skull base involving multiple cranial nerves. A 67-year-old man presented with symptoms of diplopia, hoarseness and dysphagia which had been developed two weeks ago. On neurologic examination, he showed the disturbances of the right abducens nerve and the low cranial nerves from ninth to twelfth. Neuroimaging studies revealed the destructive mass in skull base, including clivus, petrosal bone and occipital condyle on the right side, with involvement of hypopharyngeal canal and cavernous sinus. The diagnosis of metastatic HCC to the skull base was made on the basis of neurological finding and imaging studies without histological examination. Although metastatic HCC to the skull base involving multiple cranial nerves is very rare, we need to be vigilant and investigate the exact neurologic examination and the imaging studies for HCC patients with disturbance of cranial nerve.

목차

Introduction

Case Report

Discussion

Conclusion

키워드

Hepatocellular carcinoma Metastasis Skull base Cranial nerve