NEUROLOGY AND NEUROSURGERY ILLUSTRATED by Kenneth W. Lindsay PhD FRCS Ian Bone FRCP FACP Geraint Fuller MD FRCP

Author:Kenneth W. Lindsay, PhD FRCS, Ian Bone, FRCP FACP, Geraint Fuller, MD FRCP [Lindsay, Kenneth W.; Bone, Ian; Fuller, Geraint]
Language: eng
Format: epub
ISBN: 978-0-702-049170
Publisher: CHURCHILL LIVINGSTONE
Published: 2010-09-09T16:00:00+00:00

Management

Steroids should help. A few patients require orbital decompression in an attempt to prevent corneal ulceration, papilloedema and blindness.

TUMOURS OF THE SKULL BASE

MALIGNANT

CARCINOMA

Carcinoma of the nasopharynx, paranasal sinuses or ear may extend intracranially either by direct erosion or through the skull foramina. It frequently penetrates the dura (in contrast to metastatic carcinoma of the spine) and may involve almost any cranial nerve. Symptoms of nasopharyngeal or sinus disease are often associated with facial pain and numbness. Spread to the CSF pathways leads to carcinomatous meningitis and may cause multiple cranial nerve palsies. Skull X-rays, CT scan and MRI scan will demonstrate a lesion involving the skull base. CT scanning most clearly shows the bone involvement. Treatment is usually restricted to retropharyngeal biopsy plus radiotherapy.

Download

Copyright Disclaimer:
This site does not store any files on its server. We only index and link to content provided by other sites. Please contact the content providers to delete copyright contents if any and email us, we'll remove relevant links or contents immediately.