甲状腺癌孤立性骨转移所致枕髁综合征

Occipital Condyle Syndrome Caused by Isolated Bone Metastases from Thyroid Cancer.

作者信息

Harisankar Chidambaram Natrajan Balasubramanian, Vijayabhaskar Ramakrishnan, Muthukumaran Selva, Kumar Kirushna

机构信息

Department of Nuclear Medicine, Meenakshi Mission Hospital and Research Centre, Madurai, Tamil Nadu, India.

Department of Surgical Oncology, Meenakshi Mission Hospital and Research Centre, Madurai, Tamil Nadu, India.

出版信息

Indian J Nucl Med. 2019 Jan-Mar;34(1):48-50. doi: 10.4103/ijnm.IJNM_99_18.

DOI:10.4103/ijnm.IJNM_99_18

PMID:30713381

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6352645/

Abstract

Occipital condyle syndrome is a rare cause of pain in the head which is characterized by severe and persistent unilateral suboccipital headache with unilateral hypoglossal nerve palsy. We report an elderly female who presented with dysarthria and suboccipital headache. On further evaluation, she was found to have a solitary bone metastases from thyroid cancer. She was treated with local radiation therapy for pain relief, total thyroidectomy, and high-dose radioiodine therapy. The patient is presently free of pain with very good control of the thyroid cancer status.

摘要

枕髁综合征是一种罕见的头痛原因，其特征为严重且持续的单侧枕下头痛伴单侧舌下神经麻痹。我们报告一位老年女性，她出现构音障碍和枕下头痛。进一步评估发现，她患有甲状腺癌的孤立性骨转移。她接受了局部放射治疗以缓解疼痛、甲状腺全切除术和高剂量放射性碘治疗。该患者目前无痛，甲状腺癌病情得到很好控制。