A Case of Meningeal Carcinomatosis Presented with Unilateral Facial Nerve Palsy

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  • 一側性顔面神経麻痺で発症した髄膜癌腫例
  • 臨床 一側性顔面神経麻痺で発症した髄膜癌腫例
  • リンショウ イッソクセイ ガンメン シンケイ マヒ デ ハッショウ シタ ズイマク ガンシュレイ

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We report the case of a 53-year-old woman with meningeal carcinomatosis who presented with a unilateral facial nerve palsy. The patient had been followed with malignant lymphoma at the department of blood internal medicine of our hospital. We treated as Bell's palsy, and carried out steroid treatment. But 1 week later, swallowing disorder and diplopia appeared, and magnetic resonance imaging (MRI) showed that abnormal enhancement of the cerebral pia mater. Finally she was diagnosed as meningeal carcinomatosis by cerebrospinal fluid cytology. Consideration of the possibility of meningeal carcinomatiosis is necessary when diagnosing facial palsy in a patient with a history of malignant tumor.<br>

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