Atypical presentation of a posterior fossa tumour:A case report

作     者：Alisha Narotam Mikara Archary Poobalan Naidoo Yeshkhir Naidoo Vanesha Naidu 

作者机构：Department of Internal MedicineKing Edward VIII Hospital-University of Kwazulu-NatalDurban 4001Kwa-Zulu NatalSouth Africa Department of Internal MedicineNelson R MandelaSchool of MedicineUniversity of Kwa-Zulu NatalDurban 4001Kwa-Zulu NatalSouth Africa Department of RadiologyKing Edward VIII Hospital-University of Kwazulu-NatalDurban 4001Kwazulu-NatalSouth Africa 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2024年第12卷第13期

页      面：2281-2285页

核心收录：

学科分类：1002[医学-临床医学] 100212[医学-眼科学] 10[医学] 

主　　题：Respiratory distress Meningioma Unilateral vocal cord palsy Posterior fossa tumour Neurosurgery Neurology Radiology Case report 

摘      要：BACKGROUND We described a case of a patient with a meningioma in the posterior fossa presenting atypically with an isolated unilateral vocal cord palsy causing severe respiratory *** is of interest as the patient had no other symptomatology,especially given the size of the mass,which would typically cause a pressure effect leading to neurological and auditory *** SUMMARY This case report described a 48-year-old male who was married with two children and employed as a car *** had a medical history of asthma for the past 10 years controlled with an as-needed beta 2 agonist metered dose *** initially presented to our facility with severe respiratory *** reported a 1-wk history of shortness of breath and wheezing that was not relieved by his *** had no constitutional symptoms or impairment of *** clinical examination,the patient’s chest was“silent.Our initial assessment was status asthmaticus with type 2 respiratory failure,based on the history of asthma,a“silent chest,and the arterial blood gas *** A posterior fossa meningioma of such a large size and with extensive infiltration rarely presents with an isolated unilateral vocal cord *** patient’s chief presenting feature was severe respiratory distress,which combined with his background medical history of asthma,was *** should thus consider meningioma as a differential diagnosis for a unilateral vocal cord palsy even without audiology involvement.