Multimodal Treatment of Skull Base Inflammatory Pseudotumor: Case Report
Brain Tumor Research and Treatment
;
: 122-126, 2015.
Article
in English
| WPRIM
| ID: wpr-12916
ABSTRACT
lnflammatory pseudotumor (IPT) is a rare, non-neoplastic inflammatory process. It is most commonly occurs in the orbit, but extension into brain parenchyma is uncommon. In a confirmed case of IPT, most cases show good improvement with steroid theraphy. A 50-year-old man with progressive left-eye visual disturbance and mass lesion was admitted in a hospital. A left orbital mass biopsy revealed what was highly suspected as an inflammatory pseudotumor. Steroid pulse therapy with dexamethasone, radiation therapy, and chemotherapy with amphotericin B were performed, but they were not effective in improving the condition of the patient. Revision open surgery was then performed. A follow-up brain enhancement computerized tomography showed an enlarged mass volume and hydrocephalus with periventricular enhancement. As an additional procedure, ventriculoperitoneal shunt and tuberculosis medication were administered. About 2 weeks later, clinical symptoms and radiologic findings improved. We present a case of intra-cranial IPT and discuss further treatment methods.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Orbit
/
Skull
/
Sphenoid Sinus
/
Tuberculosis
/
Biopsy
/
Brain
/
Dexamethasone
/
Cavernous Sinus
/
Central Nervous System
/
Amphotericin B
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
Brain Tumor Research and Treatment
Year:
2015
Type:
Article
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