Volume : III, Issue : X, October - 2014

Dysphagia : Foramen magnum meningioma–a rare presentation

Dr Viral Patel, Dr Jit Brahmbhatt, Dr Harsh Shah, Dr Tanmai Dhawan, Dr Khushbu Patel, Dr K. J. Pathak

Abstract :

We present a case of a foramen magnum meningioma that highlights the importance of the neurologic exam when evaluating a patient with dysphagia. A 46–year–old woman presented with an 18–months history of progressive dysphagia, chronic cough and weight loss. Prior gastroenterologic and laryngologic workup was unrevealing. Her neurologic examination revealed an absent gag reflex, decreased sensation to light touch on bilateral distal extremities, hyperreflexia, and tandem gait instability. Repeat esophagogastroduodenoscopy was normal, whereas laryngoscopy revealed marked hypopharyngeal dysfunction. Brain magnetic resonance imaging demonstrated aforamen magnum mass consistent with meningioma. The patient underwent neurosurgical resection of her mass with near complete resolution of her neurologic symptoms. Pathology confirmed diagnosis of a WHO grade I meningothelial meningioma. Conclusion : CNS pathology is an uncommon but impressive cause of dysphagia. Our case demonstrates the importance of a thorough neurologic survey when evaluating such a patient.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Dr Viral Patel, Dr Jit Brahmbhatt, Dr Harsh Shah, Dr Tanmai Dhawan, Dr Khushbu Patel, Dr K. J. Pathak Dysphagia : Foramen magnum meningioma‾a rare presentation International Journal of Scientific Research, Vol : 3, Issue : 10 October 2014

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