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口腔癌术后即刻出现癫痫发作和颅神经麻痹的脑转移——罕见病例

Brain Metastasis from Oral Cancer Presenting with Seizures and Cranial Nerve Palsy in Immediate Post Operative Period- A Rare Occurrence.

作者信息

Singh Akhil Pratap, Singh Deepa, Singh Saloni

机构信息

Department of ENT & Head Neck surgery Sarojini Naidu Medical College, Moti Katra., Agra, UP India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2025 Jan;77(1):463-466. doi: 10.1007/s12070-024-05128-2. Epub 2024 Oct 12.

Abstract

Metastasis is the hallmark of malignancy but the spread to brain is an exceedingly rare occurrence for oral cancer. Two of our patients who underwent definitive surgery for oral cancer developed manifestations of Central nervous system (CNS) involvement within 7 days of surgery, one with seizures and other with cranial nerve palsies (3rd and 7th ), who were otherwise symptom free for CNS involvement preoperatively. These cases highlight the need for thorough metastasis workup including CNS.

摘要

转移是恶性肿瘤的标志,但口腔癌转移至脑部极为罕见。我们的两名接受口腔癌根治性手术的患者在术后7天内出现中枢神经系统(CNS)受累表现,其中一名出现癫痫发作,另一名出现颅神经麻痹(第3和第7对),而他们术前并无CNS受累的症状。这些病例凸显了包括对CNS进行全面检查以排查转移的必要性。

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