Diagnosis and Treatment of Inflammatory Pseudotumor with Lower Cranial Nerve Neuropathy by Endoscopic Endonasal Approach: A Systematic Review
Abstract
:1. Introduction
2. Materials and Methods
3. Illustrative Case
4. Results
4.1. Demographics and Clinical Presentation
4.2. Diagnostic Tools
4.3. Treatment and Follow-Up Outcomes
5. Discussion
5.1. Etiology
5.2. Demographics and Clinical Presentation
5.3. Diagnostic Tools
5.4. Treatment
5.5. Follow-Up Outcomes
6. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Year | Author | No. | Age /Sex | Lower Cranial Nerve S/S | Involved Regions | Involved Nerves | MRI Findings | Serology 1 | Biopsy | Treatment Modality | Follow-up Period |
---|---|---|---|---|---|---|---|---|---|---|---|
1997 | Sung et al. [14] | 1 | 57F | Dysphagia | JF, ITF | VII, IX, X, XII | ND | - | Endoscope | Prednisolone (oral): 60–100 mg/d | 6 mo |
2 | 41M | Dysphagia, dysarthria, hoarseness | JF | IX, X, XII | T1 hypo T2 hypo | - | Endoscope | Prednisolone (oral): 60–100 mg/d | 6 mo | ||
2002 | Pallini et al. [15] | 3 | 49F | Tongue atrophy | FM, clivus | VIII, XII | None | - | nil | Complete resection surgery | 5 y |
4 | 46F | Dysphagia, tongue atrophy | FM, clivus, brain stem and upper cervical compression | XI, X, XI, XII | T1 hypo | - | nil | Partial resection surgery | 2 y | ||
2004 | Crovetto et al. [16] | 5 | 72M | Dysphagia, tongue atrophy | NP, clivus, HC | IX, X, XII | T1 iso | - | Endoscope | Prednisolone (Total 552 mg IM for 24 days + 30 mg/day oral for 45 days) | 1 y |
2006 | Lee et al. [17] | 6 | 63M | Dysphagia, hoarseness | IX, X, XII | ND | - | Transmastoid | Prednisolone (oral): 60 mg/day for 28 days + 10 mg/day for 56 days + RT (2000 cGy) | 6 mo | |
2009 | Lin et al. [4] | 7 | 49M | Hoarseness, slow gag reflex, uvula deviation, | CPA | IX, X | enhanced | + | nil | En bloc surgery + whole brain RT (1200 cGy in 6 fractionations) | 2 y |
2010 | Lu et al. [18] | 8 | 70M | Dysphagia, hoarseness | NP, HC, JF | II, III, V, VII, IX, X, XII | T1 hypo T2 hypo | - | NP punch | CS (oral) | 1 mo |
9 | 32M | Tongue atrophy | NP, Clivus, HC, JF | XII | T1 hypo T2 hypo | - | CT-guided | CS (oral) | 7 mo | ||
10 | 37M | Hoarseness | NP, clivus, HC, JF | XII | T1 hypo T2 hypo | - | NP punch | CS (oral) | 8 mo | ||
Present case | Huang et al. | 48M | Dysphagia, hoarseness, tongue atrophy | JF, Clivus, HC, CA | IX, X, XII | T1 iso T2 hypo | + | nil | Endoscopic decompression surgery + prednisolone (10 mg/day for 100 days, oral) | 3 y |
Outcomes | All Patients | Treatment Modality | ||||
---|---|---|---|---|---|---|
CS Alone | Surgery Alone | CS + RT | Surgery + RT | EEA+ CS | ||
Symptomatic | ||||||
Complete resolution | 4 | 3 (50%) | 0 (0%) | 0 (0%) | 0 (0%) | 1 (100%) |
Partially improved | 3 | 3 (50%) | 0 (0%) | 0 (0%) | 0 (0%) | 0 (0%) |
Persistent | 4 | 0 (0%) | 2 (100%) | 1 (100%) | 1 (100%) | 0 (0%) |
Radiographic | ||||||
Complete resolution | 5 | 3 (50%) | 1 (50%) | 0 (0%) | 0 (0%) | 1 (100%) |
Remission or stable | 5 | 3 (50%) | 1 (50%) | 0 (0%) | 1 (100%) | 0 (0%) |
Progression or die | 1 | 0 (0%) | 0 (0%) | 1 (100%) | 0 (0%) | 0 (0%) |
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Huang, S.-H.; Chuang, C.-C.; Huang, C.-C.; Jung, S.-M.; Lee, C.-C. Diagnosis and Treatment of Inflammatory Pseudotumor with Lower Cranial Nerve Neuropathy by Endoscopic Endonasal Approach: A Systematic Review. Diagnostics 2022, 12, 2145. https://doi.org/10.3390/diagnostics12092145
Huang S-H, Chuang C-C, Huang C-C, Jung S-M, Lee C-C. Diagnosis and Treatment of Inflammatory Pseudotumor with Lower Cranial Nerve Neuropathy by Endoscopic Endonasal Approach: A Systematic Review. Diagnostics. 2022; 12(9):2145. https://doi.org/10.3390/diagnostics12092145
Chicago/Turabian StyleHuang, Sheng-Han, Chi-Cheng Chuang, Chien-Chia Huang, Shih-Ming Jung, and Cheng-Chi Lee. 2022. "Diagnosis and Treatment of Inflammatory Pseudotumor with Lower Cranial Nerve Neuropathy by Endoscopic Endonasal Approach: A Systematic Review" Diagnostics 12, no. 9: 2145. https://doi.org/10.3390/diagnostics12092145