表现为一个半综合征的转移性肾细胞癌

Metastatic renal cell carcinoma presenting as one-and-a-half syndrome.

作者信息

Patil Mukesh, Ganger Anita, Sharma Sanjay, Saxena Rohit

机构信息

Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.

Department of Radiology, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Indian J Ophthalmol. 2017 Sep;65(9):895-897. doi: 10.4103/ijo.IJO_347_17.

DOI:10.4103/ijo.IJO_347_17

PMID:28905844

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5621283/

Abstract

We report a case of 43-year-old male, presented with sudden onset binocular diplopia on lateral gazes. Ocular examination showed features of ipsilateral one-and-a-half syndrome. Comprehensive systemic work in conjunction with magnetic resonance imaging of the brain illustrated irregular mixed solid and cystic lesions in the brainstem, possibly indicative of brain metastases. Further imaging revealed hidden renal cell carcinoma as a primary neoplasm, which led to secondary manifestations.

摘要

我们报告一例43岁男性，表现为向外侧凝视时突发双眼复视。眼部检查显示同侧一个半综合征的特征。结合脑部磁共振成像进行的全面系统检查发现脑干有不规则的混合实性和囊性病变，可能提示脑转移。进一步的影像学检查发现隐匿性肾细胞癌为原发性肿瘤，导致了继发性表现。