Vargas López Antonio José, Luque Barona Rafael, Galicia Bulnes José Manuel, Al Ghanem Al Ghanem Rajab, El Rubaidi Abdullah Osamah
Servicio de Neurocirugía, Complejo Hospitalario de Jaén, Hospital Neurotraumatológico, Jaén, España.
Servicio de Anatomía Patológica, Complejo Hospitalario de Jaén, Hospital Neurotraumatológico, Jaén, España.
Neurocirugia (Engl Ed). 2019 Nov-Dec;30(6):300-304. doi: 10.1016/j.neucir.2019.01.005. Epub 2019 Mar 14.
A 72-year-old female with no relevant medical history consulted in the emergency room for a two-week history of headache, vomiting and gait disturbance. Head CT scan revealed obstructive hydrocephalus secondary to a pineal mass with compression of the third ventricle. Magnetic Resonance showed another mass located in the right Lushcka foramen. Endoscopic third-ventriculostomy and biopsy of pineal mass were performed. Pathological analysis was consistent with metastasis of carcinoma. Full-body CT scan showed a lung mass related to primary carcinoma. The patient received systemic treatment for metastatic lung cancer. She died two months after diagnosis.
一名72岁无相关病史的女性因头痛、呕吐和步态障碍两周的病史到急诊室就诊。头部CT扫描显示松果体肿块继发梗阻性脑积水，压迫第三脑室。磁共振成像显示另一个肿块位于右侧Luschka孔。进行了内镜下第三脑室造瘘术和松果体肿块活检。病理分析与癌转移一致。全身CT扫描显示肺部有一个与原发性癌相关的肿块。该患者接受了转移性肺癌的全身治疗。她在诊断后两个月死亡。
