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Article: Metastatic adenocarcinoma masquerading as basal pontine tuberculoma

TitleMetastatic adenocarcinoma masquerading as basal pontine tuberculoma
Authors
KeywordsCerebral tuberculoma
Leptomeningeal metastasis
Tuberculous meningitis
Issue Date1999
PublisherElsevier BV. The Journal's web site is located at http://www.elsevier.com/locate/clineuro
Citation
Clinical Neurology And Neurosurgery, 1999, v. 101 n. 2, p. 111-113 How to Cite?
AbstractTuberculous infection of the central nervous system is common in Hong Kong. A 39-year-old woman presented with isolated right sixth nerve palsy which was non-progressive for 10 months. Neuro-imaging revealed a right pontine lesion. Cerebrospinal fluid (CSF) examination showed lymphocytic meningitis with negative bacteriological and cytological studies. Empirical antituberculous drugs with initial corticosteroid resulted in improved CSF parameters. A diagnosis of cerebral tuberculoma complicated by meningitis was made. She subsequently deteriorated clinically and radiologically. Despite a number of clinical features which were atypical of leptomeningeal metastasis, adenosquamous carcinoma was found on biopsy. Her relatively indolent clinical course might be due to the initial corticosteroid treatment. This report illustrates the importance of early tissue diagnosis in uncertain cases of chronic lymphocytic meningitis. Copyright (C) 1999 Elsevier Science B.V.
Persistent Identifierhttp://hdl.handle.net/10722/77382
ISSN
2023 Impact Factor: 1.8
2023 SCImago Journal Rankings: 0.608
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorMak, Wen_HK
dc.contributor.authorCheung, RTFen_HK
dc.contributor.authorFan, YWen_HK
dc.contributor.authorHo, SLen_HK
dc.date.accessioned2010-09-06T07:31:18Z-
dc.date.available2010-09-06T07:31:18Z-
dc.date.issued1999en_HK
dc.identifier.citationClinical Neurology And Neurosurgery, 1999, v. 101 n. 2, p. 111-113en_HK
dc.identifier.issn0303-8467en_HK
dc.identifier.urihttp://hdl.handle.net/10722/77382-
dc.description.abstractTuberculous infection of the central nervous system is common in Hong Kong. A 39-year-old woman presented with isolated right sixth nerve palsy which was non-progressive for 10 months. Neuro-imaging revealed a right pontine lesion. Cerebrospinal fluid (CSF) examination showed lymphocytic meningitis with negative bacteriological and cytological studies. Empirical antituberculous drugs with initial corticosteroid resulted in improved CSF parameters. A diagnosis of cerebral tuberculoma complicated by meningitis was made. She subsequently deteriorated clinically and radiologically. Despite a number of clinical features which were atypical of leptomeningeal metastasis, adenosquamous carcinoma was found on biopsy. Her relatively indolent clinical course might be due to the initial corticosteroid treatment. This report illustrates the importance of early tissue diagnosis in uncertain cases of chronic lymphocytic meningitis. Copyright (C) 1999 Elsevier Science B.V.en_HK
dc.languageengen_HK
dc.publisherElsevier BV. The Journal's web site is located at http://www.elsevier.com/locate/clineuroen_HK
dc.relation.ispartofClinical Neurology and Neurosurgeryen_HK
dc.rightsClinical Neurology and Neurosurgery. Copyright © Elsevier BV.en_HK
dc.subjectCerebral tuberculoma-
dc.subjectLeptomeningeal metastasis-
dc.subjectTuberculous meningitis-
dc.subject.meshAbducens Nerve Diseases - etiologyen_HK
dc.subject.meshAdulten_HK
dc.subject.meshBrain Stem Neoplasms - diagnosis - secondaryen_HK
dc.subject.meshCarcinoma, Adenosquamous - complications - diagnosisen_HK
dc.subject.meshDiagnosis, Differentialen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshHumansen_HK
dc.subject.meshMeningeal Neoplasms - diagnosis - secondaryen_HK
dc.subject.meshMeningitis - diagnosis - etiologyen_HK
dc.subject.meshNeoplasms, Unknown Primaryen_HK
dc.subject.meshPonsen_HK
dc.subject.meshTuberculoma, Intracranial - diagnosisen_HK
dc.titleMetastatic adenocarcinoma masquerading as basal pontine tuberculomaen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0303-8467&volume=101&spage=111&epage=113&date=1999&atitle=Metastatic+adenocarcinoma+masquerading+as+basal+pontine+tuberculomaen_HK
dc.identifier.emailCheung, RTF:rtcheung@hku.hken_HK
dc.identifier.emailHo, SL:slho@hku.hken_HK
dc.identifier.authorityCheung, RTF=rp00434en_HK
dc.identifier.authorityHo, SL=rp00240en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/S0303-8467(99)00006-2en_HK
dc.identifier.pmid10467906-
dc.identifier.scopuseid_2-s2.0-0032990576en_HK
dc.identifier.hkuros47112en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0032990576&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume101en_HK
dc.identifier.issue2en_HK
dc.identifier.spage111en_HK
dc.identifier.epage113en_HK
dc.identifier.isiWOS:000081698600006-
dc.publisher.placeNetherlandsen_HK
dc.identifier.scopusauthoridMak, W=22948344000en_HK
dc.identifier.scopusauthoridCheung, RTF=7202397498en_HK
dc.identifier.scopusauthoridFan, YW=7403492523en_HK
dc.identifier.scopusauthoridHo, SL=25959633500en_HK
dc.identifier.issnl0303-8467-

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