Late Cerebellar Vermis Metastasis of Breast Cancer Presenting as PseudoBenign Paroxysmal Positional Vertigo
Journal Title: Journal of Case Reports and Studies - Year 2016, Vol 4, Issue 6
Abstract
Benign paroxysmal positional vertigo (BPPV) is a common peripheral vestibular disease; however intracranial lesions can mimic it. Intractable, not self-limiting paroxysmal positional vertigo sustained by intracranial tumors is called malignant paroxysmal positional vertigo (MPPV) while, when radiological imaging shows vascular cerebellar vermis lesions and there are atypical findings on the DixHallpike maneuver, we speak about pseudo-benign paroxysmal type (pseudo-BPPV). We present the case of a 53-years-old woman who presented a pseudo-BPPV as the first sign of a cerebellar vermis late metastasis from a breast cancer treated 13 years before. Lesions of the malignancy located in cerebellar vermis provoked a MPPV, but the nature of the pathology is different from that of pseudo-BPPV, which predominantly has vascular origin. However, there may be forms of pseudo-BPPV caused by malignancies, as in our case. As regard the differentiation between pseudo-BPPV and MPPV, a radiological investigation must be undertaken in every doubtful case.
Authors and Affiliations
Mion M
Keywords
Related Articles
- EP ID EP583471
- DOI 10.15744/2348-9820.4.604
- Views 79
- Downloads 0
Extramedullary Plasmacytoma of the Nasal Cavity: Case Report
The extramedullary plasmacytoma is a rare malignant proliferation clone secreting a monoclonal immunoglobulin. The location to the upper aerodigestive tract represents 80-90% of cases. We report a extramedullary plasmacy...
Lethal Dance with Dialysis – A Case of Silent Long QT Syndrome
Fatal arrhythmia is the leading cause of mortality in chronic haemodialysis patients. Long QT syndrome is responsible for polymorphic ventricular tachycardia known as Torsade de Pointes. Classically, long QT syndromes we...
Clinical Characteristics of Metastatic Gastric Tumors: A Report of 8 Cases in a Single Hospital
Metastatic gastric tumors (MGTs) mean the tumor cells that attack the stomach and grow there through blood vessel, lymph vessel, and other pathway, consistent with the primary tumor in phenotype, which are clinically unc...
Radiological Findings of Dyke-Davidoff-Masson Syndrome in An Adult Patient: Case Report
Dyke Davidoff-Masson syndrome (DDMS) is a rare disease characterized by cerebral hemiatrophy due to brain insult in fetal life. Clinical symptoms include seizures, facial asymmetry, hemiplegia or hemiparesis, and mental...
Disseminated Cutaneous Mycobacterium Chelonae Infection in a 9.5-Year-Old Girl with Diabetes
Mycobacterium chelonae is a fast growing mycobacteria that mainly causes localized cutaneous infections. Disseminated cutaneous infections are quite exclusively seen in immunosuppressed individuals. We present a case of...