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The patient came to the clinic with long
history of headache and hearing loss for 2 years and progressive
weal left facial nerve and left abducens and blurring vision both
eyes with diplopia and swallowing difficulty for 3 years and ataxic
gait. The patient was embolized 6 months ago without result and she
progressed after that visual scotomas. On examination, beside
the above mentioned findings, she had atrophy of the left side of
the tongue with loss of taste and sensation of the left side of the
tongue. She had hiccup and abnormal breathing pattern. Several MRIs
performed over the last 3 years, showing the progression of the mass
with total involvement of the left transverse sinus with the
inferior petrosal vein and the IJV down to the med cervical region.
The mass was giant and compressing the brain stem with mild
secondary hydrocephalus.
Comments:
1. This is the 10th similar case I have with
these data and were operated, but for my regret, they escaped the
video documentation during the last 20 years. I will try to seek the
available material later.
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