[A 61-year-old man with sciatica].
A 61-year-old man was admitted to our department with radicular back-pain and progressive gait-difficulties. On examination he had flaccid paraparesis and bladder-retention. He subsequently developed palsy of n. oculomotorius, dysarthria, right-sided Bells palsy and weakness of his right arm over a 4-week period. He became disoriented and died without a diagnosis. MRI of the brain and columna were negative. Extensive search for malignancies yielded negative results. Cytology specimens were inconclusive and repeated liquor-examinations showed very low glucose levels, mild pleocytosis, elevated protein. Autopsy revealed a small adenocarcinoma of the lung and meningeal carcinomatosis originating from the adenocarcinoma.
Breivik
Kristin Lif
KL
Nevrologisk avdeling, Sentralsjukehuset i Sogn og Fjordane, 6807 Førde. kristin.lif.breivik@helse-forde.no
Laurini
Ricardo
R
Steen
Rolf
R
Alstadhaug
Karl Bjørnar
KB
D000230:Adenocarcinoma / Q000473:pathology; D001344:Autopsy; D001416:Back Pain / Q000175:diagnosis; D002555:Cerebrospinal Fluid / Q000166:cytology; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D020233:Gait Disorders, Neurologic / Q000175:diagnosis; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008297:Male; D055756:Meningeal Carcinomatosis / Q000473:pathology; D008875:Middle Aged; D020335:Paraparesis / Q000175:diagnosis; D010291:Paresis / Q000175:diagnosis; D011658:Pulmonary Fibrosis / Q000000981:diagnostic imaging / Q000473:pathology; D011859:Radiography; D012585:Sciatica / Q000175:diagnosis / Q000473:pathology