Miyazaki Takuya, Taguchi Jun, Obana Takashi, Yamaji Satoshi, Koharazawa Hideyuki, Fujimaki Katsumichi, Kanamori Heiwa, Ishigatsubo Yoshiaki
Department of Internal Medicine and Clinical Immunology, Yokohama City University Graduate School of Medicine.
Rinsho Ketsueki. 2006 Oct;47(10):1393-5.
We report on a 70-year-old male who developed cavernous sinus syndrome as the initial symptom of multiple myeloma. He was admitted with diplopia and ptosis in October 2004. The diagnosis of multiple myeloma and cavernous sinus syndrome due to a gross mass at the sinus base were made. Cerebral computed tomography revealed that the lesion occupied the sphenoid sinus and involved the oculomoter nerve. He underwent local irradiation of the mass followed by systemic chemotherapy. The symptoms caused by the mass disappeared after the treatment. Clinicians need to be aware of the rare manifestation of multiple myeloma.
我们报告了一例70岁男性，其以海绵窦综合征作为多发性骨髓瘤的首发症状。他于2004年10月因复视和上睑下垂入院。诊断为多发性骨髓瘤以及由窦底部肿块导致的海绵窦综合征。脑部计算机断层扫描显示病变占据蝶窦并累及动眼神经。他接受了肿块局部放疗，随后进行全身化疗。治疗后肿块引起的症状消失。临床医生需要意识到多发性骨髓瘤这种罕见的表现形式。
