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A Rare Case of Ecchordosis Physaliphora Presenting With Headache, Abducens Nerve Palsy, and Intracranial Hypertension
- Source :
- Cureus
- Publication Year :
- 2020
- Publisher :
- Cureus, Inc., 2020.
-
Abstract
- 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 H2O. 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.
- Subjects :
- medicine.medical_specialty
Nausea
ecchordosis physaliphora
Neurosurgery
Neurological examination
030204 cardiovascular system & hematology
abducen nerve palsy
03 medical and health sciences
0302 clinical medicine
medicine
Abducens nerve
Palsy
medicine.diagnostic_test
Lumbar puncture
business.industry
Mass effect
General Engineering
Pons
Ecchordosis physaliphora
Neurology
intracranial hypertension
Radiology
medicine.symptom
business
headache
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 21688184
- Database :
- OpenAIRE
- Journal :
- Cureus
- Accession number :
- edsair.doi.dedup.....b98032967bb555eccd96eba0f485b88c