Korean J Audiol.  2014 Apr;18(1):34-37. 10.7874/kja.2014.18.1.34.

Unusual Presentation of a Metastatic Tumor to the Temporal Bone: Severe Otalgia and Facial Paralysis

Affiliations
  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Hallym University, Dongtan Sacred Heart Hospital, Hwaseong, Korea. thecell@medimail.co.kr

Abstract

Metastatic temporal bone tumors are rare diseases and they are usually clinically asymptomatic, so it is difficult to diagnose them. Breasts are the most common sites of temporal bone metastasis. Tumors of lung, kidney, gastrointestinal tract, prostate gland, larynx and thyroid gland are the other sites. The pathogenesis of the temporal bone is most commonly related to the hematogenous route. We present the case of a 78-year-old man with facial paralysis combined with severe otalgia. This patient was initially diagnosed with Bell's palsy. However, based on the radiologic findings, the patient was diagnosed with lung cancer with temporal bone metastasis.

Keyword

Facial palsy; Temporal bone; Metastatic tumor

MeSH Terms

Aged
Bell Palsy
Breast
Earache*
Facial Paralysis*
Gastrointestinal Tract
Humans
Kidney
Larynx
Lung
Lung Neoplasms
Neoplasm Metastasis
Prostate
Rare Diseases
Temporal Bone*
Thyroid Gland
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