Nasopharyngeal Carcinoma with Skull Base Invasion and Hydrocephalus: A Case Report

鼻咽癌併發廣泛性顱底轉移及水腦症 ─ 病例報告

王致仁(Chih-Jen Wang) ； 洪純隆(Shen-Long Howng)

《The Kaohsiung Journal of Medical Sciences》 18卷11期 (2002/11) Pp. 582-584

https://doi.org/10.6452/KJMS.200211.0582

摘要

一位36歲男性患者至本院腦神經外科求診，主訴鼻塞、暈眩、頭痛並頸部僵硬一年前，患者經切片證實罹患鼻咽癌，並接受5000 rads放射治療。住院後，頭部電腦斷層攝影顯示廣泛性顱底侵犯合併頭骨破壞，且造成阻塞性水腦症。經手術置入腦室腹腔引流管治療阻塞性水腦症後，給予6000 rads放射治療，並投與5-FU及Cisplatin等化學療法，以控制病情。

關鍵字

鼻塞癌 ； 顱底侵犯 ； 小腦

並列摘要

We describe a case of nasopharyngeal carcinoma (NPC) with diffuse skull base bony destruction, resulting in obstructive hydrocephalus. Previously, these lesions were reported to be NPC with brain metastasis, without diffuse bony destruction of the skull base or hydrocephalus. We found no other cases of NPC with brain metastasis and diffuse bony destruction of the skull base resulting in hydrocephalus in the literature.

並列關鍵字

nasopharyngeal carcinoma ； skull base invasion ； hydrocephalus