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Rehabilitation Practice and Science

Translated Title

以隱藏式吸入性肺炎表現之腦幹畸胎瘤：病例報告

Abstract

Brain stem tumors are relatively rare but predominantly diseases of childhood. Most of them are astrocytomas or ependymomas histologically. Intracranial teratomas arise in the midline, most comm-only in the pineal and suprasellar regions. Only one documented paper illustrated a teratoma arising in the brain stem. Patients with a brain stem tumor may present different symptoms and signs, such as facial nerve palsy, hemiparesis and unilateral hearing loss when involving the pons; and anorexia, dysphagia, upper respiratory tract infections, vomiting, hoarseness, ataxia and hemiparesis or quadriparesis when involving the medulla oblongata.This case was a 22- year-old female patient who suffered from a diffuse aspiration pneumonia without any symptoms of dysphagia or swallowing difficulties. During admission, she also had sust-ained intermittent high fever, hypoxia and respiratory failure. Silent aspiration was confirmed after the examination of esophagogram, and brain MRI revealed a brain stem tumor located in the medulla oblongata. The patient underwent decompressive craniectomy, adjuvant radiotherapy, chemotherapy and rehabilitation after diagnosis, and finally she has been able to carry on normal activity of daily living without any swallowing difficulty till now.

Language

Traditional Chinese

First Page

109

Last Page

116

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