Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
CASE REPORTS
Progressive Multiple Cranial Nerve Palsies as the Presenting Symptom of Meningeal Carcinomatosis from Occult Colon Adenocarcinoma
Yuji KatoHidetaka TakedaTomohisa DemboTakuya FukuokaNorio Tanahashi
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JOURNALS OPEN ACCESS

2012 Volume 51 Issue 7 Pages 795-797

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Abstract

We herein describe a rare case of meningeal carcinomatosis in a 77-year-old woman who had bilateral deafness as the initial symptom of a previously undetected colon cancer malignancy. Meningeal carcinomatosis should be considered in the differential diagnosis in cases of abrupt-onset sensorineural deafness. Both MRI scans and cerebrospinal fluid evaluation are necessary diagnostic tools, and should be used in conjunction as each of these procedures could have false-negative results. This should apply even when there is no known primary malignancy.

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© 2012 by The Japanese Society of Internal Medicine
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