Résumé
A patient with superior orbital fissure syndrome caused by metastatic hepatocellular carcinoma is reported. She had painful ophthalmoplegia and decreased sensation along the first branch of trigeminal nerve. Histologically confirmation was done by biopsy of sternal metastases. The awareness of various neurological presentations apart from hepatic failure in this malignancy is emphasized.
Sujets)
Adulte , Carcinome hépatocellulaire/secondaire , Femelle , Humains , Tumeurs du foie/anatomopathologie , Ophtalmoplégie/étiologie , Tumeurs de l'orbite/secondaireRésumé
A patient with superior orbital fissure syndrome caused by metastatic hepatocellular carcinoma is reported. She had painful ophthalmoplegia and decreased sensation along the first branch of the trigeminal nerve. Histological confirmation was done by biopsy of sternal metastases. The awareness of various neurological presentations apart from hepatic failure in this malignancy is emphasized.
Sujets)
Adulte , Carcinome hépatocellulaire/complications , Femelle , Humains , Tumeurs du foie/complications , Ophtalmoplégie/étiologie , Tumeurs de l'orbite/complications , SyndromeRésumé
The case of an astrocytoma of the cervical cord associated with signs and symptoms of increased intracranial pressure in a 14-year-old girl is reported. Several possible etiological factors responsible for producing this syndrome are presented. The impairment of CSF absorption at the convexity proven by CSF dynamic study is the main factor for the increased intracranial pressure and the neoplastic inflammatory reaction appears to be the causative mechanism for poor CSF absorption in this patient.