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CC BY-NC-ND 4.0 · Ibnosina Journal of Medicine and Biomedical Sciences 2019; 11(04): 185-187
DOI: 10.4103/ijmbs.ijmbs_45_19
Case Report

Retropharyngeal soft-tissue mass with multiple cranial neuropathies

Anwaar Bennour
1   Department of Medicine, Neurology Unit, University Hospital, Benghazi
,
Anas Dughman
2   Department of Radiology, Radiology Center, University of Benghazi, Benghazi
,
Asmaa Elkhashmee
1   Department of Medicine, Neurology Unit, University Hospital, Benghazi
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Retropharyngeal lesions have different spectrum of presentations. We herein present a case with step-wise progression of ambiguous symptoms and signs of polycraniopathy, caused by a soft-tissue mass in the retropharyngeal space extending into the cavernous sinus, as detected by magnetic resonance imaging. Initially, he was presented with hemifacial pain and lately progress rapidly to involve all cranial nerves; 3rd through 12th cranial nerves. The differential diagnosis was malignant tumor or aggressive infectious mass, which were excluded by histopathological examination. The diagnosis of inflammatory pseudotumor was a diagnosis of exclusion and decided based on a combination of clinical profile, blood test, radiological, and histopathological results.

Key-words:

Inflammatory mass - polycraniopathy - retropharyngeal space

Financial support and sponsorship

Nil.




Publication History

Received: 27 August 2019

Accepted: 22 October 2019

Article published online:
07 July 2022

© 2019. The Libyan Authority of Scientific Research and Technologyand the Libyan Biotechnology Research Center. All rights reserved. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License,permitting copying and reproductionso long as the original work is given appropriate credit. Contents may not be used for commercial purposes, oradapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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