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European Archives of Oto-Rhino-Laryngology
Published in: European Archives of Oto-Rhino-Laryngology 11/2007

01-11-2007 | Case Report

Vertigo caused by a nasopharyngeal carcinoma

Authors: Eike Krause, John Martin Hempel, Robert Gürkov

Published in: European Archives of Oto-Rhino-Laryngology | Issue 11/2007

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Abstract

A case of a 63 year-old woman with acute vertigo, hearing loss and tinnitus caused by a nasopharyngeal carcinoma is reported. Despite a long-standing unilateral Eustachian tube dysfunction, only the occurrence of vertigo attacks lead to the diagnosis in this patient. Inner ear-related symptoms are rare in nasopharyngeal carcinoma and the disease is uncommon in Europe. Skull base tumors are an important differential diagnosis of labyrinth dysfunction that can be detected by MRI. A complete diagnostic work-up is necessary in patients with unilateral tube dysfunction, to allow early detection of this disorder.
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Lee AWM, Foo W, Law SCK, Poon YF, Sze WM, O SK, Tung SY, Lau WH (1997) Nasopharyngeal carcinoma-presenting symptoms and duration before diagnosis. HK Med J 3:355–361
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Parkin DM, Bray F, Ferlay J, Pisani P (2005) Global cancer statistics, 2002. CA Cancer J Clin 55(2):74–108PubMedCrossRef
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Shanmugaratnam K, Sobin LH (1991) Histological typing of tumors of the upper respiratory tract and ear. In: Shanmugaratnam K, Sobin LH (eds) International histological classification of tumors, vol 19. WHO, Geneva, pp 32–33
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Metadata
Title
Vertigo caused by a nasopharyngeal carcinoma
Authors
Eike Krause
John Martin Hempel
Robert Gürkov
Publication date
01-11-2007
Publisher
Springer-Verlag
Published in
European Archives of Oto-Rhino-Laryngology / Issue 11/2007
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-007-0365-2

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