Rhinitis as the Presenting Symptom of Pineal Region Epidermoid Tumor: A Case Report

  • Maryam Joudi Department of Immunology and Allergy, Allergy Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
  • Mohammad Hosein Eshaghi Ghalibaf Student Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
  • Atefeh Ghorbanzadeh Student Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
  • Samira Zabihyan Department of Neurosurgery, Mashhad University of Medical Sciences, Mashhad, Iran
  • Nasrin Moazzen Department of Pediatric Immunology and Allergy, Akbar Medical Center, Mashhad University of Medical Sciences, Mashhad, Iran
  • Maryam Khoshkhui Mail Department of Immunology and Allergy, Allergy Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
Keywords:
Brain tumor, Cerebrospinal fluid, Rhinitis, Rhinorrhea

Abstract

Brain tumors are the rarest cause of cerebrospinal fluid rhinorrhea. Non-traumatic cerebrospinal fluid rhinorrhea is also a relatively rare condition. It may be misdiagnosed as allergic rhinitis or chronic sinusitis and lead to unsuitable treatment. We described a 34-year-old man who came to our allergy clinic with a chief complaint of clear rhinorrhea from his left nostril with more than four years of duration. Onlyhypertrophy of left inferior concha was found in the clinical examination. His rhinorrhea aggravated when bending forward. So we were suspicious of CSF rhinorrhea. MRI was done for him and demonstrated a large tumor in the pineal region. The patient underwent surgery with resection of the mass via an infratentorial-supracerebellar approach. This case showed the role of maintaining differential diagnosis for a common complaint; rhinitis which is seen as usual.

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Published
2020-08-25
How to Cite
1.
Joudi M, Eshaghi Ghalibaf MH, Ghorbanzadeh A, Zabihyan S, Moazzen N, Khoshkhui M. Rhinitis as the Presenting Symptom of Pineal Region Epidermoid Tumor: A Case Report. Iran J Allergy Asthma Immunol. 19(4):450-453.
Section
Case Report(s)