Abstract
We herein describe a rare case of meningeal carcinomatosis in a 77-year-old woman who had bilateral deafness as the initial symptom of a previously undetected colon cancer malignancy. Meningeal carcinomatosis should be considered in the differential diagnosis in cases of abrupt-onset sensorineural deafness. Both MRI scans and cerebrospinal fluid evaluation are necessary diagnostic tools, and should be used in conjunction as each of these procedures could have false-negative results. This should apply even when there is no known primary malignancy.
MeSH terms
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Adenocarcinoma / complications*
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Adenocarcinoma / diagnosis*
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Aged
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Colonic Neoplasms / complications*
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Colonic Neoplasms / diagnosis*
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Cranial Nerve Diseases / cerebrospinal fluid
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Cranial Nerve Diseases / diagnosis*
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Cranial Nerve Diseases / etiology*
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Diagnosis, Differential
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Fatal Outcome
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Female
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Hearing Loss, Sensorineural / cerebrospinal fluid
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Hearing Loss, Sensorineural / etiology
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Hearing Loss, Sudden / cerebrospinal fluid
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Hearing Loss, Sudden / etiology
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Humans
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Magnetic Resonance Imaging
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Meningeal Carcinomatosis / cerebrospinal fluid
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Meningeal Carcinomatosis / complications*
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Meningeal Carcinomatosis / diagnosis*
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Meningeal Carcinomatosis / secondary
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Neoplasms, Unknown Primary / complications
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Neoplasms, Unknown Primary / diagnosis