Metastatic adenocarcinoma of temporal bone with collet-sicard syndrome

Introduction Metastatic tumors of the temporal bone are extremely rare. Collet-Sicard syndrome is an uncommon condition characterized by unilateral palsy of the lower four cranial nerves. The clinical features of temporal bone metastasis are nonspecific and mimic infections such as chronic otitis me...

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Main Authors: Subha, Sethu Thakachy, Nordin, Abdul Jalil
Format: Article
Language:English
Published: Mashhad University of Medical Sciences 2018
Online Access:http://psasir.upm.edu.my/id/eprint/74951/
http://psasir.upm.edu.my/id/eprint/74951/1/Metastatic%20adenocarcinoma%20of%20temporal%20bone%20with%20collet-sicard%20syndrome.pdf
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author Subha, Sethu Thakachy
Nordin, Abdul Jalil
author_facet Subha, Sethu Thakachy
Nordin, Abdul Jalil
author_sort Subha, Sethu Thakachy
building UPM Institutional Repository
collection Online Access
description Introduction Metastatic tumors of the temporal bone are extremely rare. Collet-Sicard syndrome is an uncommon condition characterized by unilateral palsy of the lower four cranial nerves. The clinical features of temporal bone metastasis are nonspecific and mimic infections such as chronic otitis media and mastoiditis. Case Report This report describes a rare case of metastatic adenocarcinoma of the temporal bone causing Collet-Sicard syndrome, presenting with hearing loss, headache and ipsilateral cranial nerve palsies. The patient was a 68-year old woman initially diagnosed with extensive mastoiditis and later confirmed as having metastatic adenocarcinoma of the temporal bone, based on histopathologic findings. Conclusion Clinical presentation of metastatic carcinoma of the temporal bone can be overshadowed by infective or inflammatory conditions. This case report is to emphasize the point that a high index of clinical suspicion is necessary for the early diagnosis of this aggressive disease which carries relatively poor prognosis. This report highlights that it is crucial to suspect malignant neoplasm in patients with hearing loss, headache and cranial nerve palsies.
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spelling upm-749512020-04-20T17:05:28Z http://psasir.upm.edu.my/id/eprint/74951/ Metastatic adenocarcinoma of temporal bone with collet-sicard syndrome Subha, Sethu Thakachy Nordin, Abdul Jalil Introduction Metastatic tumors of the temporal bone are extremely rare. Collet-Sicard syndrome is an uncommon condition characterized by unilateral palsy of the lower four cranial nerves. The clinical features of temporal bone metastasis are nonspecific and mimic infections such as chronic otitis media and mastoiditis. Case Report This report describes a rare case of metastatic adenocarcinoma of the temporal bone causing Collet-Sicard syndrome, presenting with hearing loss, headache and ipsilateral cranial nerve palsies. The patient was a 68-year old woman initially diagnosed with extensive mastoiditis and later confirmed as having metastatic adenocarcinoma of the temporal bone, based on histopathologic findings. Conclusion Clinical presentation of metastatic carcinoma of the temporal bone can be overshadowed by infective or inflammatory conditions. This case report is to emphasize the point that a high index of clinical suspicion is necessary for the early diagnosis of this aggressive disease which carries relatively poor prognosis. This report highlights that it is crucial to suspect malignant neoplasm in patients with hearing loss, headache and cranial nerve palsies. Mashhad University of Medical Sciences 2018 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/74951/1/Metastatic%20adenocarcinoma%20of%20temporal%20bone%20with%20collet-sicard%20syndrome.pdf Subha, Sethu Thakachy and Nordin, Abdul Jalil (2018) Metastatic adenocarcinoma of temporal bone with collet-sicard syndrome. Iranian Journal of Otorhinolaryngology, 30 (101). 361 - 364. ISSN 2251-7251; ESSN: 2251-726X
spellingShingle Subha, Sethu Thakachy
Nordin, Abdul Jalil
Metastatic adenocarcinoma of temporal bone with collet-sicard syndrome
title Metastatic adenocarcinoma of temporal bone with collet-sicard syndrome
title_full Metastatic adenocarcinoma of temporal bone with collet-sicard syndrome
title_fullStr Metastatic adenocarcinoma of temporal bone with collet-sicard syndrome
title_full_unstemmed Metastatic adenocarcinoma of temporal bone with collet-sicard syndrome
title_short Metastatic adenocarcinoma of temporal bone with collet-sicard syndrome
title_sort metastatic adenocarcinoma of temporal bone with collet-sicard syndrome
url http://psasir.upm.edu.my/id/eprint/74951/
http://psasir.upm.edu.my/id/eprint/74951/1/Metastatic%20adenocarcinoma%20of%20temporal%20bone%20with%20collet-sicard%20syndrome.pdf