Cerebellopontine Metastatic Carcinoma of Small Cell Lung Cancer Mimiking of Vestibular Neuritis.
- Author:
Young Hyo KIM
1
;
Kyu Sung KIM
;
Yoon Seok OH
;
Hoseok CHOI
Author Information
1. Department of Otorhinolaryngolog-Head & Neck Surgery, Inha University College of Medicine, Incheon, Korea. hschoi@inha.com
- Publication Type:Case Report
- Keywords:
Cerebellopontine angle;
Metastasis;
Vestibular neuritis
- MeSH:
Aged;
Brain;
Cerebellopontine Angle;
Dizziness;
Drug Therapy;
Ear;
Ear, Inner;
Head;
Hearing Loss;
Humans;
Lung;
Magnetic Resonance Imaging;
Needles;
Neoplasm Metastasis;
Physical Examination;
Radiotherapy;
Small Cell Lung Carcinoma*;
Thorax;
Tinnitus;
Tomography, X-Ray Computed;
Vestibular Neuronitis*
- From:Journal of the Korean Balance Society
2007;6(2):226-229
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 77-year-old man visited our department because of dizziness from one month ago. Dizziness was continuous and non-whirling and this type of dizziness was the first time. He also complained of tinnitus and hearing impairment of the right ear. On physical examination, he showed spontaneous left-beating horizontal and torsional nystagmus and rightward head thrust was positive. He was admitted under the first impression of right vestibular neuritis. On inner ear MRI, there was a well-demarcated 2.5x2.3 cm sized mass of right cerebellopontine angle. This mass showed somewhat low signal intensity in both T1 and T2-weighted image and modest enhancement with Gadolinum. And approximately 4.5x3 cm sized mass could be seen in the simple chest roentgenogram. On chest CT, there was a poorly demarcated 3x2.5 cm sized mass in left lower lobe of lung. The patient was diagnosed as small cell lung cancer with brain metastasis by Per-Cutaneous Needle Aspiration of lung. In spite of radiotherapy and concurrent chemotherapy, he expired after 5 months.
