Buz Dağının Tepesi: Horner Sendromu İle Belirti Veren Mediastinal Şvannoma
Journal Title: Journal of Neurological Sciences-Turkish - Year 2007, Vol 24, Issue 2
Abstract
43 yaşında bayan hasta sağ gözde pitozis, miyozis ve sağ yüz yarısında terlememe şikayeti ile başvurdu. Yaklaşık bir yıldır pitozisi mevcut olan hastanın hiç bir sağlık kurumuna başvurmadığı öğrenildi. Horner sendromu için yapılan kokain testi pozitif idi. Direkt akciğer grafisinde arka mediastinumun üst kısmında bir kitle lezyonu saptandı. Cerrahi olarak çıkarılan kitlenin hsitopatolojik incelemesi schwannoma ile uyumlu bulundu. Horner sendromu ile en sık birliktelik gösteren tümörler akciğer (pancoast) ve meme kanserleridir. Ancak Horner sendromu bu tümörlerin erken bir bulgusu değildir. Horner sendromlu olgularda mediastinal schwannoma ise nadir rapor edilmiştir.
Authors and Affiliations
Afsun SAHIN, Tulay KANSU, Cumhur SENER
Keywords
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