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A Rare Case of Ecchordosis Physaliphora Presenting With Headache, Abducens Nerve Palsy, and Intracranial Hypertension

We report a rare case of ecchordosis physaliphora presenting with headache, nausea, and diplopia. On neurological examination, the patient was found to have left abducens nerve palsy. CT of the head without contrast was unremarkable. Brain MRI demonstrated a non-enhancing retroclival mass with a mas...

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Detalles Bibliográficos
Autores principales: Sun, Ruiqing, Ajam, Yousaf, Campbell, Gerald, Masel, Todd
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7386083/
https://www.ncbi.nlm.nih.gov/pubmed/32754387
http://dx.doi.org/10.7759/cureus.8843
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author Sun, Ruiqing
Ajam, Yousaf
Campbell, Gerald
Masel, Todd
author_facet Sun, Ruiqing
Ajam, Yousaf
Campbell, Gerald
Masel, Todd
author_sort Sun, Ruiqing
collection PubMed
description We report a rare case of ecchordosis physaliphora presenting with headache, nausea, and diplopia. On neurological examination, the patient was found to have left abducens nerve palsy. CT of the head without contrast was unremarkable. Brain MRI demonstrated a non-enhancing retroclival mass with a mass effect upon the ventral pons. The mass had increased signal intensity on T2 and decreased signal intensity on T1-weighted sequences. Lumbar puncture revealed an opening pressure of 37 cm H(2)O. The patient underwent an endoscopic endonasal approach for retroclival mass resection three weeks later. The tissue analysis of the mass was consistent with ecchordosis physaliphora. This could have been misdiagnosed as idiopathic intracranial hypertension had the MRI of the brain not been performed.
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spelling pubmed-73860832020-08-03 A Rare Case of Ecchordosis Physaliphora Presenting With Headache, Abducens Nerve Palsy, and Intracranial Hypertension Sun, Ruiqing Ajam, Yousaf Campbell, Gerald Masel, Todd Cureus Neurology We report a rare case of ecchordosis physaliphora presenting with headache, nausea, and diplopia. On neurological examination, the patient was found to have left abducens nerve palsy. CT of the head without contrast was unremarkable. Brain MRI demonstrated a non-enhancing retroclival mass with a mass effect upon the ventral pons. The mass had increased signal intensity on T2 and decreased signal intensity on T1-weighted sequences. Lumbar puncture revealed an opening pressure of 37 cm H(2)O. The patient underwent an endoscopic endonasal approach for retroclival mass resection three weeks later. The tissue analysis of the mass was consistent with ecchordosis physaliphora. This could have been misdiagnosed as idiopathic intracranial hypertension had the MRI of the brain not been performed. Cureus 2020-06-26 /pmc/articles/PMC7386083/ /pubmed/32754387 http://dx.doi.org/10.7759/cureus.8843 Text en Copyright © 2020, Sun et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Neurology
Sun, Ruiqing
Ajam, Yousaf
Campbell, Gerald
Masel, Todd
A Rare Case of Ecchordosis Physaliphora Presenting With Headache, Abducens Nerve Palsy, and Intracranial Hypertension
title A Rare Case of Ecchordosis Physaliphora Presenting With Headache, Abducens Nerve Palsy, and Intracranial Hypertension
title_full A Rare Case of Ecchordosis Physaliphora Presenting With Headache, Abducens Nerve Palsy, and Intracranial Hypertension
title_fullStr A Rare Case of Ecchordosis Physaliphora Presenting With Headache, Abducens Nerve Palsy, and Intracranial Hypertension
title_full_unstemmed A Rare Case of Ecchordosis Physaliphora Presenting With Headache, Abducens Nerve Palsy, and Intracranial Hypertension
title_short A Rare Case of Ecchordosis Physaliphora Presenting With Headache, Abducens Nerve Palsy, and Intracranial Hypertension
title_sort rare case of ecchordosis physaliphora presenting with headache, abducens nerve palsy, and intracranial hypertension
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7386083/
https://www.ncbi.nlm.nih.gov/pubmed/32754387
http://dx.doi.org/10.7759/cureus.8843
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