Abstract
A case of esthesioneuroblastoma is reported. A 23-year-old male patient was admitted with a complaint of headache. A computerized tomography scan revealed a large high-density mass in the anterior cranial base, and the cystic component extended into the right frontal lobe. Cerebral angiography showed vascular blushing from the ophthalmic artery. Total removal of the tumor was performed successfully, followed by postoperative radiation therapy of 6, 000 rad. However, 5 months after surgery, it recurred as an intranasal tumor. After another two operations with following radiation therapy, the patient returned to social life with anosmia as the only neurological deficit.
Esthesioneuroblastoma is a rare tumor that presents usually as a mass in the nasal cavity. Thirteen cases have been recorded so far in which the neoplasm manifested initially as an intracranial mass.