Caterina Giannini
Tanzania
Case Report
Solitary Metastasis to the Facial/Vestibulocochlear Nerve Complex Case Report and Review of the Literature
Author(s): Shafie Ariai M, Scott D Eggers, Caterina Giannini, Colin L W Driscoll and Michael J LinkShafie Ariai M, Scott D Eggers, Caterina Giannini, Colin L W Driscoll and Michael J Link
Background and Importance: Distant metastasis of mucinous adenocarcinoma from the gastrointestinal tract, ovaries, pancreas, lungs, breast or urogenital system is a well described entity. Mucinous adenocarcinomas from different primary sites are histologically identical with gland cells producing a copious amount of mucin. This report describes a very rare solitary metastasis of a mucinous adenocarcinoma of unknown origin to the facial/ vestibulocochlear nerve complex in the cerebellopontine angle.
Clinical Presentation: A 71-year-old woman presented with several month history of progressive neurologic decline and a negative extensive workup performed elsewhere. She presented to our institution with complete left facial weakness, left-sided deafness, gait unsteadiness, headache and anorexia. A repeat MRI scan of the head revealed a cystic, e.. View More»