Description

Overview:

(This case study was added to OER Commons as one of a batch of over 700. It has relevant information which may include medical imagery, lab results, and history where relevant. A link to the final diagnosis can be found at the end of the case study for review. The first paragraph of the case study -- typically, but not always the clinical presentation -- is provided below.)

A 78 year old right handed male presented with dysphagia particularly for liquids and dysarthria for the last four months. He was recently under evaluation for his fairly new onset anemia and renal failure in a private clinic. He denied any headaches, visual problems, fainting or any word finding difficulty. His past medical history was significant for ischemic heart disease, hypertension, bronchitis and kidney stones. The most prominent findings on physical exam were left sided lower (VIII-XII) cranial nerve palsies. Laboratory tests revealed an anemia with hemoglobin of 7.8 g/dl and a serum creatinine of 8.1 mg/dl. The Brain MRI demonstrated a left posterior fossa hyper-intense extra-axial mass extending into the left jugular foramen. (Figure 1). The differential based on the location was paraganglioma, schwannoma and meningioma. The patient underwent a sub-occipital biopsy of the lesion.

Subject:

Health, Medicine and Nursing, Education, Life Science

Level:

College / Upper Division, Graduate / Professional, Career / Technical

Material Type:

Case Study, Diagram/Illustration

Author:

Ali Mahta, Bob Carter, Ewa Borys, Santosh Kesari, Scott R. Vandenberg, Zhongde Du

Provider:

University of Pittsburgh School of Medicine

Provider Set:

Department of Pathology

Date Added:

08/01/2022