Breivik Kristin Lif, Laurini Ricardo, Steen Rolf, Alstadhaug Karl Bjørnar
Nevrologisk avdeling, Sentralsjukehuset i Sogn og Fjordane, 6807 Førde.
Tidsskr Nor Laegeforen. 2009 May 14;129(10):1000-2. doi: 10.4045/tidsskr.09.33160.
A 61-year-old man was admitted to our department with radicular back-pain and progressive gait-difficulties. On examination he had flaccid paraparesis and bladder-retention. He subsequently developed palsy of n. oculomotorius, dysarthria, right-sided Bells palsy and weakness of his right arm over a 4-week period. He became disoriented and died without a diagnosis. MRI of the brain and columna were negative. Extensive search for malignancies yielded negative results. Cytology specimens were inconclusive and repeated liquor-examinations showed very low glucose levels, mild pleocytosis, elevated protein. Autopsy revealed a small adenocarcinoma of the lung and meningeal carcinomatosis originating from the adenocarcinoma.
一名61岁男性因神经根性背痛和进行性步态困难入院。检查发现他有弛缓性截瘫和膀胱潴留。随后，在4周内他出现了动眼神经麻痹、构音障碍、右侧贝尔面瘫和右臂无力。他变得神志不清，未确诊就去世了。脑部和脊柱的MRI检查结果均为阴性。广泛寻找恶性肿瘤结果为阴性。细胞学标本结果不明确，多次脑脊液检查显示葡萄糖水平极低、轻度细胞增多、蛋白质升高。尸检发现肺部有一个小腺癌以及起源于该腺癌的脑膜癌转移。
