J Rhinol.  2018 May;25(1):47-50. 10.18787/jr.2018.25.1.47.

A Case of Phantosmia Occurred by Glioblastoma

Affiliations
  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea. kimemail@snubh.org

Abstract

Phantosmia is defined as the false perception of odors without any environmental odor stimulus. It is a very rare phenomenon, but it can be caused by a wide variety of conditions, such as viral or allergic rhinosinusitis, head trauma, brain tumor, migraine, temporal lobe epilepsy, stroke, and psychiatric conditions. If it is caused by a brain tumor such as glioblastoma, it can be controlled with steroids or antiepileptic drugs. Phantosmia can also be treated with surgical resection or adjuvant radiotherapy combined with chemotherapy. We report a case of glioblastoma presenting with phantosmia.

Keyword

Phantosmia; Temporal lobe epilepsy; Glioblastoma

MeSH Terms

Anticonvulsants
Brain Neoplasms
Craniocerebral Trauma
Drug Therapy
Epilepsy, Temporal Lobe
Glioblastoma*
Migraine Disorders
Odors
Radiotherapy, Adjuvant
Steroids
Stroke
Anticonvulsants
Steroids

Figure

  • Fig. 1 Paranasal Sinus Computed Tomography. A 3.4 cm-sized enhancing mass (white arrow) in the right temporal lobe. Axial view (A) and Coronal view (B).

  • Fig. 2 Brain Tumor Magnetic Resonance Image. A 3.3 cm necrotic enhancing mass (white arrow) in the right medial temporal lobe including hippocampus (HP: hippocampus, AM: amygdala, UN: uncus). T1 Gadolinium protocol (A) and T2 protocol (B).


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