KMID : 0361020130560090584
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Korean Journal of Otolaryngology - Head and Neck Surgery 2013 Volume.56 No. 9 p.584 ~ p.587
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A Case of Central Origin Vertigo in Breast Cancer with Brain Metastasis
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Lee Hyun-Jin
Lee Jeon-Mi Kim Sung-Huhn Bae Seong-Hoon
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Abstract
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The incidence of symptomatic brain metastasis among women with breast cancer ranges from 10 to 16%. A metastatic spread of breast cancer to either the brain parenchyma or the leptomeninges is generally a late feature of metastatic progression. The present case of a 55-year-old patient had been considered cured from breast cancer. However, she recently complained of severe dizziness, hearing impairment, and headache. Initially, it was considered to be Meniere¡¯s disease or vestibular migraine, although later dizziness, hearing impairment, and headache were aggravated in spite of medication. Pure tone audiometry showed left-sided sensorineural hearing loss, but her vestibular function was within normal range. She underwent a Gadolinium-enhanced magnetic resonance imaging, and a metastatic brain lesion was noted. With a review of the literature, we present this case of breast cancer with brain metastasis in a 55-year-old woman with vertigo and hearing loss.
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KEYWORD
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Breast neoplasm, Leptomeningeal carcinomatosis, Sensory neural hearing loss
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