Document Detail


Cranial nerve deficit caused by skull metastasis of prostate cancer: three Japanese castration-resistant prostate cancer cases.
MedLine Citation:
PMID:  20526645     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report 3 Japanese patients with cranial nerve deficit caused by skull metastasis of prostate cancer (PCa). Case 1 was a 75-year-old patient with a chief complaint of diplopia. The cause of diplopia was right oculomotor nerve palsy from the skull metastasis. External beam radiation therapy (EBRT) to the whole brain, 40 Gy in 20 fractions, was performed and the diplopia improved. Case 2 was a 72-year-old patient with a chief complaint of facioplegia. Bone scintigraphy and computed tomography (CT) of the head revealed right occipital bone metastasis of PCa resulting in right facial nerve palsy. EBRT to the right occipital bone, 50 Gy in 25 fractions, with daily oral dexamethasone (DEX) was performed and facioplegia showed complete recovery. At 12 months after onset, the patient was followed-up with no symptoms. Case 3 was a 74-year-old patient with a chief complaint of diplopia. Diffusion-weighted magnetic resonance imaging (MRI) and positron emission tomography (PET) showed right petrous bone metastasis resulting in right abducent nerve palsy. EBRT to the right petrous bone, 44 Gy in 22 fractions, with oral DEX was performed and diplopia showed complete recovery. At 13 months after onset, the patient was followed-up with no symptoms. MRI and PET may detect PCa metastasis in the skull base more clearly than other imaging modalities. EBRT with 40-50 Gy in 20-25 fractions in association with corticosteroid administration may be reasonable treatment of patients with metastatic PCa who develop cranial nerve dysfunction.
Authors:
Kouji Izumi; Atsushi Mizokami; Kazutaka Narimoto; Kazuhiro Sugimoto; Eitetsu Koh; Tomoyasu Kumano; Mikio Namiki
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-06-05
Journal Detail:
Title:  International journal of clinical oncology     Volume:  15     ISSN:  1437-7772     ISO Abbreviation:  Int. J. Clin. Oncol.     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-12-14     Completed Date:  2011-04-07     Revised Date:  2012-12-13    
Medline Journal Info:
Nlm Unique ID:  9616295     Medline TA:  Int J Clin Oncol     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  631-4     Citation Subset:  IM    
Affiliation:
Department of Integrative Cancer Therapy and Urology, Kanazawa University Graduate School of Medical Science, 13-1 Takara-machi, Kanazawa, Ishikawa 920-8641, Japan. azuizu2003@yahoo.co.jp
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MeSH Terms
Descriptor/Qualifier:
Aged
Bone Neoplasms / complications,  radiotherapy,  secondary*
Castration
Cranial Nerve Diseases / etiology*,  pathology
Humans
Lymphatic Metastasis
Male
Neoplasms, Hormone-Dependent / complications,  pathology*,  radiotherapy
Prognosis
Prostatic Neoplasms / complications,  pathology*,  radiotherapy
Skull Neoplasms / complications,  radiotherapy,  secondary*

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