April 2018

35-year-old male with facial palsy - Tumor

History:

35-year-old male presents with sudden onset of left-side facial palsy.

Exam

Awake, alert, able to name normally, normal memory.
Cranial nerves II-XII are intact except for left peripheral VII palsy.
Strength- 5/5 upper extremities.
No sensory loss.
DTR within normal limits. Cerebellar function is normal.
Gait normal.

 

Fig 1

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Pathology

Questions

Your answers will be added to those already obtained and tabulated at the end of the month.

References

  • Di Maio et al. Current comprehensive management of cranial base chordomas: 10 year meta-analysis of observational studies. J Neurosurg 2011. 
  • McDonald et al. Influence of residual tumor volume and radiation dose coverage in outcomes for clival chordoma. Int J Radiat Oncol Biol Phys 2016.

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