The diagnosis of skull base metastases by radionuclide bone scan

The differential diagnosis of multiple cranial nerve palsies in patients with cancer includes meningeal infections, meningeal carcinomatosis, and skull base metastases. In distinguishing these, spinal fluid analysis and skull base tomography should be helpful in most cases. In circumstances when res...

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Bibliographic Details
Published inCancer Vol. 59; no. 11; pp. 1887 - 1891
Main Authors Brillman, J., Valeriano, J., Adatepe, M. H.
Format Journal Article
LanguageEnglish
Published New York Wiley Subscription Services, Inc., A Wiley Company 01.06.1987
Wiley-Liss
Subjects
Aged
Biological and medical sciences
Breast Neoplasms - diagnostic imaging
Diagnosis, Differential
Female
Humans
Lung Neoplasms - diagnostic imaging
Male
Medical sciences
Meningeal Neoplasms - secondary
Meningitis - diagnostic imaging
Middle Aged
Neurology
Radionuclide Imaging
Skull Neoplasms - diagnostic imaging
Skull Neoplasms - secondary
Tomography, X-Ray Computed
Tumors of the nervous system. Phacomatoses
Human
Intracranial
Nervous system diseases
Diagnostic
Tumor
Metastatic
Bone
Scintigraphy
Base of the skull
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Summary:The differential diagnosis of multiple cranial nerve palsies in patients with cancer includes meningeal infections, meningeal carcinomatosis, and skull base metastases. In distinguishing these, spinal fluid analysis and skull base tomography should be helpful in most cases. In circumstances when results of skull base tomography are negative, radionuclide bone scans can demonstrate metastatic disease in the base of the skull, and it should be obtained in all patients who are highly suspicious for having skull base metastasis with negative skull base tomography, including computed tomography (CT).
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
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ISSN:0008-543X
1097-0142
DOI:10.1002/1097-0142(19870601)59:11<1887::AID-CNCR2820591108>3.0.CO;2-J