Clinical case of craniovertebral junction tumor simulating nasopharyngeal carcinoma
Autor: | I L Levina, A V Doroshilova, E V Belykh, A Yu Stupnikova, O V Matveeva |
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Rok vydání: | 2015 |
Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Lumen (anatomy) Magnetic resonance imaging General Medicine medicine.disease Spiral computed tomography Duplex scanning Echoencephalography medicine.anatomical_structure Nasopharyngeal carcinoma Biopsy medicine Spinal canal Radiology business |
Zdroj: | Kazan medical journal. 96:124-128 |
ISSN: | 2587-9359 0368-4814 |
DOI: | 10.17750/kmj2015-124 |
Popis: | A rare case of the long-term observation of a patient with craniovertebral junction tumor is decribed. The presented case report includes a number of noteworthy features. The onset of the disease as the nasopharyngeal tumor symptoms, unusual anterior tumor growth towards the nasopharyngeal lumen with cuff inclusion of СI-СII vertebral bodies and posterior growth towards the spinal canal, signs of development disorder and perinatal organic brain damage were the factors creating considerable difficulty in determining the tumor nature and structure, which in turn influenced the treatment choice. Results of the patient’s examination for «nasopharyngeal carcinoma extending into the oropharynx» were analyzed. Insufficient capabilities of such methods as rheoencephalography, electroencephalography, echoencephalography, brachiocephalic arteries duplex scanning, transcranial magnetic stimulation for the diagnosis of craniovertebral junction tumor are shown. The difficulties of the biopsy histological and immunochemical study results interpretation out of clinical context and radiological data are discovered. Contrast spiral computed tomography and magnetic resonance imaging allowed to clarify the craniovertebral junction tumor nature and spreading. |
Databáze: | OpenAIRE |
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