One case of meningeal carcinomatosis with initial symptoms of dizziness, headache and acute sensorineural hearing loss

• Yamamoto Koji

  Department of Otolaryngology, Tokyo Dental College Ichikawa General Hospital

• Nakajima Tsuneya

  Department of Otolaryngology, Tokyo Dental College Ichikawa General Hospital

• Kaida Shogo

  Department of Gastroenterology, Tokyo Dental College Ichikawa General Hospital

• Miyauchi Jun

  Department of Clinical Pathology, Tokyo Dental College Ichikawa General Hospital

• Yoshida Ryuichi

  Department of Otolaryngology, Tokyo Dental College Ichikawa General Hospital

• Kobayashi Sayuri

  Department of Otolaryngology, Tokyo Dental College Ichikawa General Hospital

• Kitahara Hiroto

  Department of Gastroenterology, Tokyo Dental College Ichikawa General Hospital

Bibliographic Information

Other Title

• めまい、頭痛、および急性感音難聴を初期症状とした髄膜癌腫症の１症例

Abstract

We reported a case of meningeal carcinomatosis associated with preceding symptoms of dizziness, headache and acute sensorineural hearing loss. A 66- year- old man complaining dizziness and headache was admitted to a local hospital and referred to our hospital as his condition was not improved. He was diagnosed as acute bilateral sensorineural hearing loss. Since the patient did not respond to steroid therapy, tumor marker testing was performed and showed a high CEA value, 531 ng/ml. Further examinations revealed gastric cancer (signet ring cell carcinoma) with intracranial metastases of the tumor cells. It was concluded that enhanced head MRI, tumor marker testing and repeated spinal fluid examinations should be necessary when intracranial metastases of a malignant tumor was suspected even in case of acute sensorineural hearing loss.

Journal

• Otology Japan

  Otology Japan 21 (1), 52-59, 2011

  Japan Otological Society

Keywords

• meningeal carcinomatosis
• acute sensorineural hearing loss
• gastric cancer
• signet ring cell carcinoma

Details

• CRID: 1390282679749257984
• NII Article ID: 10029699371
• NII Book ID: AN10358085
• DOI: 10.11289/otoljpn.21.52
• ISSN: 18841457
• ISSN: 09172025
• Web Site: https://search.jamas.or.jp/link/ui/2011179765
• Text Lang: ja
• Data Source:
  • JaLC
  • CiNii Articles
  • KAKEN
  • Crossref
• Abstract License Flag: Disallowed