Garcin syndrome caused by parotid gland adenoid cystic carcinoma: A case report.
Medicine (Baltimore)
; 96(45): e8508, 2017 Nov.
Article
in En
| MEDLINE
| ID: mdl-29137049
ABSTRACT
RATIONALE Garcin syndrome is characterized by the gradual involvement, and ultimately, unilateral paralysis of at least 7 and sometimes all cranial nerves, without intracranial hypertension or any long tract signs. PATIENT CONCERNS We report the case of a 59-year-old woman who presented with Garcin syndrome, which gradually progressed over a period of 2 years. DIAGNOSIS A left parotid gland biopsy revealed parotid gland adenoid cystic carcinoma (PGACC) with perineural invasion of a peripheral nerve bundle and lymph node metastasis. INTERVENTIONS:
The patient was treated 3 times with local-field palliative radiotherapy.OUTCOMES:
She died after several months. LESSONS To the best of our knowledge, this is the first report of PGACC presenting as Garcin syndrome. PGACC is a rare tumor with a high propensity for perineural spread, and it should be considered as a possible cause of Garcin syndrome.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Parotid Neoplasms
/
Carcinoma, Adenoid Cystic
/
Cranial Nerve Diseases
Limits:
Female
/
Humans
/
Middle aged
Language:
En
Journal:
Medicine (Baltimore)
Year:
2017
Document type:
Article