Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Abducens Nerve Palsy and Horner Syndrome Due to Metastatic Tumor in the Cavernous Sinus
Hiromasa TSUDAHiroshi ISHIKAWAKeiko ASAYAMATsutomu SAITOSohei ENDOTomohiko MIZUTANI
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JOURNALS OPEN ACCESS

2005 Volume 44 Issue 6 Pages 644-646

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Abstract

A 41-year-old man was diagnosed as having primary parotid carcinoma on the right side. After radical parotidectomy, radiation therapy and systemic chemotherapy, the primary parotid carcinoma was completely remitted. Two years later, right abducens nerve palsy and Horner syndrome appeared. Neuroimaging demonstrated a gadolinium-enhanced lesion in the posterior portion of the right cavernous sinus, and metastasis of parotid carcinoma was suspected. After radiosurgery and systemic chemotherapy, the intracavernous lesion disappeared. This is the first case of combination of abducens nerve palsy and ipsilateral Horner syndrome due to metastasis from parotid carcinoma to the cavernous sinus.

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© 2005 by The Japanese Society of Internal Medicine
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