alexa Carcinoma Lung Presenting as Intracranial Hypertension and Lower Cranial Nerve Palsies | OMICS International
ISSN: 2329-6895

Journal of Neurological Disorders
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Case Report

Carcinoma Lung Presenting as Intracranial Hypertension and Lower Cranial Nerve Palsies

Chakor Rahul T* and Eklare Nishikant C
Department of Neurology, TN Medical College, BYL Nair Hospital, Mumbai, India
Corresponding Author : Rahul Chakor
Associate Professor, Dept of Neurology
TN Medical College, BYL Nair Hospital, Mumbai, India
Tel: 9122 23027509
Fax: 9122 23020296
E-mail: [email protected]
Received April 15, 2014; Accepted May 29, 2014; Published June 02, 2014
Citation: Chakore and Eklare (2014) Carcinoma Lung Presenting as Intracranial Hypertension and Lower Cranial Nerve Palsies. J Neurol Disord 2:163. doi: 10.4172/2329-6895.1000163
Copyright: © 2014 Chakor RT, et al. 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.
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Abstract

Carcinomatous meningitis (CM) results from spread of malignant cells from solid tumors to leptomeninges and subarachnoid space. CM occurs in the late stage of cancer in the setting of widespread metastases. We report a patient presenting with intracranial hypertension, lower cranial nerve palsies and reactive CSF. His post contrast MRI brain and skull base was normal. Cerebrospinal fluid (CSF) was cellular but did not show malignant cells. Repeat CSF cytology the third time finally demonstrated carcinoma cells. A pulmonary mass was subsequently detected on high resolution computed tomogram (CT) of chest. CT guided biopsy was suggestive of adenocarcinoma.

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