脑膜癌病作为胆囊癌的首发症状
Meningeal carcinomatosis as presenting symptom of a gallbladder carcinoma.
作者信息
Tans R J, Koudstaal J, Koehler P J
机构信息
Department of Neurology, De Wever Ziekenhuis, Heerlen, The Netherlands.
出版信息
Clin Neurol Neurosurg. 1993 Sep;95(3):253-6. doi: 10.1016/0303-8467(93)90133-2.
PMID:8242971
Abstract
Meningeal carcinomatosis as presenting symptom is rare. We report a patient who presented with an isolated abducens nerve palsy and an unsteady gait. At autopsy the primary tumor proved to be a gallbladder carcinoma. Only one similar case has been reported. Several aspects are discussed, including the route by which the tumor cells could have reached the subarachnoid space.
摘要
以脑膜癌病为首发症状较为罕见。我们报告一例患者，其表现为孤立性展神经麻痹和步态不稳。尸检发现原发肿瘤为胆囊癌。此前仅报道过一例类似病例。本文讨论了几个方面，包括肿瘤细胞可能到达蛛网膜下腔的途径。
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