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[转移性面神经麻痹。颞骨转移性病变综述]

[Facial paralysis of metastatic origin. Review of metastatic lesions of the temporal bone].

作者信息

Miró Castillo N, Roca-Ribas Serdà F, Barnadas Molins A, Prades Martí J, Casamitjana Claramunt F, Perelló Scherdel E

机构信息

Servicio de Otorrinolaringología, Hospital Universitario Germans Trias i Pujol.

出版信息

An Otorrinolaringol Ibero Am. 2000;27(3):255-63.

Abstract

Metastatic lesions in temporal bone were rare in the past but are increasing, it seems, nowadays. We present the case of a women patient which first and only metastatic symptom was her peripheral facial paralysis. In our review of world literature of this topic only 148 published cases were found. Tumors more frequently spreading to temporal bone, in decreasing order of development, are those of the breast, lungs, kidney, stomach and prostate. Clinically these metastases become manifest by hypoacusy, buzzing ears, body unbalance, vertigo and facial palsy. The prognosis of these disorders are related to the serverity of the systemic disease.

摘要

颞骨转移性病变过去较为罕见,但如今似乎有增多趋势。我们报告一例女性患者,其首发且唯一的转移症状是周围性面瘫。在我们对该主题的世界文献回顾中,仅发现148例已发表病例。按发病频率递减顺序,最常转移至颞骨的肿瘤依次为乳腺癌、肺癌、肾癌、胃癌和前列腺癌。临床上,这些转移瘤表现为听力减退、耳鸣、身体失衡、眩晕和面瘫。这些病症的预后与全身疾病的严重程度相关。

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