Two cases of intracranial tumor causing neural symptoms as incipient symptoms in the maxillo-oral region

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  • IWAMOTO Osamu
    Dental and Oral Mdical Center, Kurume University School of Medicine
  • NAKAMURA Moriyoshi
    Dental and Oral Mdical Center, Kurume University School of Medicine
  • MAKIHARA Satoko
    Dental and Oral Mdical Center, Kurume University School of Medicine
  • KUSANO Midori
    Dental and Oral Mdical Center, Kurume University School of Medicine
  • KOGA Chihiro
    Dental and Oral Mdical Center, Kurume University School of Medicine
  • KUSUKAWA Jingo
    Dental and Oral Mdical Center, Kurume University School of Medicine

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  • 顎口腔領域に神経症状が初発した頭蓋内腫瘍の2例
  • ガク コウクウ リョウイキ ニ シンケイ ショウジョウ ガ ショハツ シタ トウガイ ナイ シュヨウ ノ 2レイ

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Abstract

We report two cases of intracranial tumor causing neural symptoms as incipient symptoms in the maxillo-oral region.<br>Case 1: A 39-year-old woman presented with right deviation of the tongue when it was protruded. Metastasis to the cranial base was diagnosed after surgery for cervical cancer of the uterus. Cranial nerve disorders in Ⅸ-Ⅻwere identified on neurological examination.<br>Case 2: A 54-year-old woman presented with sensory disorders of the right hemifacial and hemiglossal regions.<br>A primary cerebral tumor in the right cerebellopontine angle area was diagnosed. Hypoesthesia, nystagmus, and deafness were noted in the Ⅰ-Ⅲ branch regions of the trigeminal nerve on neurological examination. Cerebral tumor excision was performed, and the histopathological diagnosis was schwannoma. Tumors arising in the central nervous system can cause various neural symptoms in the maxillo-facial region, resulting in complicated, multiple neural symptoms, as observed in our patients. Imaging diagnosis is therefore important in addition to detailed neurological examination.

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