Fulminant Meningitis after Radiotherapy for Clival Chordoma
Brain Tumor Research and Treatment
;
: 107-110, 2013.
Article
in English
| WPRIM
| ID: wpr-33101
ABSTRACT
The best treatment for clival chordoma is obtained with total surgical excision, sometimes combined with adjuvant radiotherapy. A cerebrospinal fluid (CSF) fistula is a fatal complication that may occur following extended transsphenoidal surgery (TSS) and adjuvant radiotherapy. We report a case of fulminant meningitis without a CSF fistula in a 57-year-old woman who underwent TSS and multiple radiotherapies for a clival chordoma. She presented to our emergency room with copious epistaxis and odor inside her nasal cavity and had an unexpected fatal outcome. She was diagnosed with meningitis based on CSF culture and blood culture. While treating clival chordomas with adjuvant radiotherapy, clinicians should be aware of the possibility of fulminant meningitis.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Radiotherapy
/
Chordoma
/
Cerebrospinal Fluid
/
Epistaxis
/
Fatal Outcome
/
Radiotherapy, Adjuvant
/
Emergencies
/
Fistula
/
Meningitis
/
Nasal Cavity
Limits:
Female
/
Humans
Language:
English
Journal:
Brain Tumor Research and Treatment
Year:
2013
Type:
Article
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