Document Detail

An unusual presentation of inverted papilloma: case report and literature review.
MedLine Citation:
PMID:  19646294     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Inverted papilloma is a rare but locally aggressive tumour with the potential for malignant transformation. Intracranial extension or complications secondary to inverted papilloma are extremely rare. We report a case of inverted papilloma with a large frontal sinus mucocele eroding the frontal sinus, which presented with sudden neurological compromise. A literature review on intracranial extension of such tumours is also included. METHODS: A Medline search of articles, using the terms 'inverted papilloma', 'Ringertz tumour', 'intracranial extension' and 'complication'. Suitable references from the collected articles were also reviewed. Articles published in English were selected and reviewed. RESULTS: A total of 10 cases was identified. Intracranial spread was more commonly seen in recurrent cases, especially if the recurrence involved the cribriform plate, fovea ethmoidalis or orbits. Cases with extradural disease seemed to have a better prognosis than those with intradural spread. CONCLUSIONS: Intracranial involvement of inverted papilloma is extremely rare, and is usually seen in recurrent cases. This case report highlights an unusual but serious case of inverted papilloma presenting with acute neurological deterioration secondary to a large frontal sinus mucocele eroding the frontal sinus. A literature review on intracranial extension of inverted papilloma indicated that common sites of intracranial spread include the cribriform plate, fovea ethmoidalis and orbits. The prognosis for patients with such tumours depends on the type of dural involvement, with intradural extension carrying a poorer prognosis.
V Visvanathan; H Wallace; P Chumas; Z G G Makura
Related Documents :
932544 - The differential diagnosis of the orbital manifestations of paranasal disease.
15772604 - Antroliths: survey of the literature and report of a case.
1491644 - Comparative study of plain-film radiographs of maxillary sinuses between radiologists a...
1877534 - Allergic fungal sinusitis. report of three cases associated with dematiaceous fungi.
3460004 - Mandibular paresthesia secondary to cerebrovascular changes.
24678234 - Dens invagination: a review of literature and report of two cases.
Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2009-08-03
Journal Detail:
Title:  The Journal of laryngology and otology     Volume:  124     ISSN:  1748-5460     ISO Abbreviation:  J Laryngol Otol     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-01-06     Completed Date:  2010-04-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8706896     Medline TA:  J Laryngol Otol     Country:  England    
Other Details:
Languages:  eng     Pagination:  101-4     Citation Subset:  AIM; IM    
Department of Otolaryngology - Head and Neck Surgery, Leeds General Infirmary, West Yorkshire, UK.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Epilepsy / etiology*
Frontal Sinus*
Mucocele / complications*
Neoplasm Invasiveness
Papilloma, Inverted / complications*,  surgery
Paranasal Sinus Neoplasms / complications*,  surgery
Tomography, X-Ray Computed
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Marsupialisation and strap muscle transposition laryngoplasty for vocal cysts with vocal fold atroph...
Next Document:  Semicircular canal versus otolithic involvement in idiopathic sudden hearing loss.