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KMID : 1035520150030020122
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Brain Tumor Research and Treatment : BTRT
2015 Volume.3 No. 2 p.122 ~ p.126
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Multimodal Treatment of Skull Base Inflammatory Pseudotumor: Case Report
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Lee Sang-Gun
Shin Il-Young
Hwang Hyung-Sik
Choi Il
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Abstract
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lnflammatory pseudotumor (IPT) is a rare, non-neoplastic inflammatory process. It is most commonly occurs in the orbit, but extension into brain parenchyma is uncommon. In a confirmed case of IPT, most cases show good improvement with steroid theraphy. A 50-year-old man with progressive left-eye visual disturbance and mass lesion was admitted in a hospital. A left orbital mass biopsy revealed what was highly suspected as an inflammatory pseudotumor. Steroid pulse therapy with dexamethasone, radiation therapy, and chemotherapy with amphotericin B were performed, but they were not effective in improving the condition of the patient. Revision open surgery was then performed. A follow-up brain enhancement computerized tomography showed an enlarged mass volume and hydrocephalus with periventricular enhancement. As an additional procedure, ventriculoperitoneal shunt and tuberculosis medication were administered. About 2 weeks later, clinical symptoms and radiologic findings improved. We present a case of intra-cranial IPT and discuss further treatment methods.
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KEYWORD
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Granuloma, Central nervous system, Sphenoid sinus, Cavernous sinus
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