This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on Web of Science (8)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Report of a Case of Metastatic Carcinoma

Khang-Loon Ho, MD

Arch Neurol. 1980;37(10):669-670.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The symptoms that constitute the lateral medullary syndrome are well established.^1-3 The majority are due to infarction,⁴ but neoplasm,^5-7 vascular malformation,⁸ radionecrosis,⁹ and abscess¹⁰ also can produce it. Those unusual cases are listed in the Table. I describe a patient in whom the syndrome was caused by metastatic oat cell carcinoma.

REPORT OF A CASE

A 41-year-old woman was asymptomatic for a year following lobectomy and radiation therapy for an oat cell carcinoma of the right upper lobe. She was then hospitalized for headache, nausea, ataxia, slurred speech, and progressive lethargy.

Examination revealed severe dysphasia and dysarthria with absent left palatal elevation. She had a broad-based, slow, and markedly ataxic gait with a tendency to fall to the left. Mild papilledema existed. Pupils were equal and reacted normally. There was horizontal nystagmus on lateral gaze to the right. Ptosis of the left eye was . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Pathology, Wayne State University School of Medicine, Detroit.

Footnotes
Accepted for publication Feb 18, 1980.

Reprint requests to Department of Pathology, Wayne State University School of Medicine, Scott Hall, 540 E Canfield Ave, Detroit, MI 48201 (Dr Ho).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?