Leptomeningeal carcinomatosis presenting as bilateral sensorineural deafness and unilateral facial palsy.
This paper describes the case of a 56-year-old man with a history of small cell lung cancer under chemotherapy, who presented with left-sided peripheral facial palsy and progressive bilateral sensorineural deafness due to leptomeningeal carcinomatosis (LMC). Brain magnetic resonance imaging (MRI) of the petrosal bones and posterior cranial fossa revealed 2 solid lesions in the internal acoustic meatuses bilaterally and LMC of the skull base. Whole brain radiation therapy and methotrexate intrathecally were applied to the patient.
Mourgela
S
S
Department of Neurosurgery, Agios Savvas Anticancer Institute, Athens, Greece. sofiamou@otenet.gr
Sakellaropoulos
A
A
Ardavanis
A
A
D003937:Diagnosis, Differential; D005158:Facial Paralysis / Q000175:diagnosis / Q000209:etiology*; D006319:Hearing Loss, Sensorineural / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D055756:Meningeal Carcinomatosis / Q000150:complications* / Q000175:diagnosis; D008875:Middle Aged; D055752:Small Cell Lung Carcinoma / Q000150:complications* / Q000188:drug therapy