Magnetic Resonance Evidence of Perineural Metastasis
| Autor: | Anantha Manepali, John B. Selhorst, Tajammul Ehsan, Ghazala Hayat |
|---|---|
| Rok vydání: | 1995 |
| Předmět: |
medicine.medical_specialty
Skin Neoplasms Cavernous sinus syndrome Perineural invasion Metastasis Fatal Outcome Maxillary Nerve Meningeal Neoplasms Humans Medicine Cranial Nerve Neoplasms Radiology Nuclear Medicine and imaging Trigeminal Nerve Aged medicine.diagnostic_test business.industry Maxillary nerve Cauda equina Magnetic resonance imaging medicine.disease Magnetic Resonance Imaging medicine.anatomical_structure Meningeal carcinomatosis Carcinoma Squamous Cell Cavernous Sinus Female Neurology (clinical) Radiology Neoplasm Recurrence Local business Complication |
| Zdroj: | Journal of Neuroimaging. 5:122-125 |
| ISSN: | 1051-2284 |
| DOI: | 10.1111/jon199552122 |
| Popis: | Contiguous spread along perineural and endoneural spaces, that is, perineural tumor extension, in cutaneous squamous cell carcinoma is fairly common. Infrequently, these tumors spread and involve intracranial structures. One consequence of this complication is meningeal carcinomatosis which is underrecognized. Herein described is a patient with recurrent cutaneous squamous cell carcinoma with perineural invasion along the maxillary nerve that was subsequently shown by magnetic resonance imaging to the trigeminal root. The patient initially presented with a cavernous sinus syndrome but despite aggressive treatment, extensive meningeal carcinomatosis and cauda equina dysfunction developed. Awareness of perineural invasion and proper evaluation are crucial. Perineural spread intracranially worsens the prognosis and limits treatment options to palliation. |
| Databáze: | OpenAIRE |
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