Case Report of Cerebellar Endometriosis

被引:6
作者
Meggyesy, Michael [1 ]
Friese, Michael [2 ]
Gottschalk, Joachim [2 ]
Kehler, Uwe [1 ]
机构
[1] Asklepios Klin Altona, Dept Neurosurg, Paul Ehrlich Str 1, D-22763 Hamburg, Germany
[2] Asklepios Kliniken Hamburg GmbH, Asklepios Klin Nord Standort Heidberg, Dept Neuropathol, Hamburg, Germany
关键词
hydrocephalus; endometriosis; brain cyst; CEREBRAL ENDOMETRIOSIS; WOMEN; PREVALENCE; DIAGNOSIS;
D O I
10.1055/s-0040-1701622
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Endometriosis is a disorder in women which is characterized by extrauterine manifestations. We describe a case of cerebellar endometriosis in a 39-year-old woman who underwent posterior fossa decompression multiple times without establishing a correct diagnosis. Her neurologic status progressively worsened due to chronic hydrocephalus and brainstem compression by cysts. Late in the clinical course, histology from the cyst wall was taken that revealed endometriosis with clear cells and positive immunohistology for progesterone and estrogen receptors. Treatment with gestagens was started but did not improve the patient's status. In patients with chronic recurring intracranial cysts and hydrocephalus, cerebral endometriosis should be considered.
引用
收藏
页码:372 / 376
页数:5
相关论文
共 27 条
  • [1] Dienogest Versus Leuprolide Acetate for Recurrent Pelvic Pain Following Laparoscopic Treatment of Endometriosis
    Abdou A.M.
    Ammar I.M.M.
    Alnemr A.A.A.
    Abdelrhman A.A.
    [J]. The Journal of Obstetrics and Gynecology of India, 2018, 68 (4) : 306 - 313
  • [2] Can symptomatology help in the diagnosis of endometriosis? Findings from a national case-control study - Part 1
    Ballard, K. D.
    Seaman, H. E.
    de Vries, C. S.
    Wright, J. T.
    [J]. BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2008, 115 (11) : 1382 - 1391
  • [3] Mechanisms of Disease Endometriosis
    Bulun, Serdar E.
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2009, 360 (03) : 268 - 279
  • [4] Cristescu C, 2013, ROM J MORPHOL EMBRYO, V54, P91
  • [5] FERGUSON BR, 1969, OBSTET GYNECOL, V33, P617
  • [6] Prevalence of newly diagnosed endometriosis in women attending the general practitioner
    Ferrero, Simone
    Arena, Elisa
    Morando, Amatore
    Remorgida, Valentino
    [J]. INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 2010, 110 (03) : 203 - 207
  • [7] Self-reported prevalence of endometriosis and its symptoms among Puerto Rican women
    Flores, Idhaliz
    Abreu, Silkha
    Abac, Sonia
    Fourquet, Jessica
    Laboy, Joaquin
    Rios-Bedoya, Carlos
    [J]. INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 2008, 100 (03) : 257 - 261
  • [8] Endometriosis
    Giudice, LC
    Kao, LC
    [J]. LANCET, 2004, 364 (9447) : 1789 - 1799
  • [9] A CASE OF CEREBRAL ENDOMETRIOSIS CAUSING CATAMENIAL EPILEPSY
    ICHIDA, M
    GOMI, A
    HIRANOUCHI, N
    FUJIMOTO, K
    SUZUKI, K
    YOSHIDA, M
    NOKUBI, M
    MASUZAWA, T
    [J]. NEUROLOGY, 1993, 43 (12) : 2708 - 2709
  • [10] Endometriosis of the bowel with lymph node involvement - A report of three cases and review of the literature
    Insabato, L
    Pettinato, G
    [J]. PATHOLOGY RESEARCH AND PRACTICE, 1996, 192 (09) : 957 - 961