Lee Aleum, Chang Kee-Hyun, Hong Hyunsook, Kim Heekyung
Department of Radiology, Soonchunhyang University Hospital, Bucheon, Korea.
Department of Pathology, Soonchunhyang University Hospital, Bucheon, Korea.
J Korean Neurosurg Soc. 2015 Mar;57(3):208-10. doi: 10.3340/jkns.2015.57.3.208. Epub 2015 Mar 20.
Tumors of the clivus and metastases to the clivus are very rare. Metastasis involving the clivus has previously been described in only two case reports. In skull metastasis, the breast and prostate are the most common primary foci, while metastasis from gastric carcinoma is extremely rare. A review of the English literature revealed only one published case of clivus metastases from gastric adenocarcinoma. There is no literature thoroughly explaining the differential diagnosis between chordoma and metastasis. Here we report a rare case of metastasis to the clivus from a gastric adenocarcinoma in a 42-year-old female patient with sudden blurry vision, presenting as bilateral cranial nerve VI palsy.
斜坡肿瘤及转移至斜坡的情况非常罕见。此前仅有两篇病例报告描述过累及斜坡的转移瘤。在颅骨转移瘤中，乳腺和前列腺是最常见的原发灶，而胃癌转移极为罕见。对英文文献的回顾显示，仅有一例关于胃腺癌斜坡转移的病例报道。目前尚无文献全面阐释脊索瘤与转移瘤之间的鉴别诊断。在此，我们报告一例42岁女性胃腺癌转移至斜坡的罕见病例，该患者突发视力模糊，表现为双侧展神经麻痹。
