Paraneoplastic vertigo as the presenting symptom of a testicular seminoma.
Vertigo is a common presenting symptom, but rarely may be caused by a malignancy. We present a case of a 44-year-old man who presented with nystagmus and vertigo precipitated by movement, with accompanying nausea and weight loss. Diagnostic workup revealed a right testicular mass that was resected and found to be a seminoma. The patient's symptoms resolved after surgical resection and treatment with corticosteroids.
Internal Medicine Residency Program, University of Washington, Seattle, Washington, USA.
Andrea
A
Ball
Department of Medicine, University of Washington, Seattle, Washington, USA.
Emma B
EB
Greer
Department of Medicine, University of Washington, Seattle, Washington, USA.
Christopher J
CJ
Wong
D000328:Adult; D006801:Humans; D008297:Male; D009759:Nystagmus, Pathologic / Q000209:etiology; D010257:Paraneoplastic Syndromes / Q000175:diagnosis / Q000209:etiology*; D018239:Seminoma / Q000175:diagnosis*; D013736:Testicular Neoplasms / Q000175:diagnosis*; D014717:Vertigo / Q000209:etiology*