Painful ophthalmoplegia secondary to larynx carcinoma
Alvarez Suárez, M.L.; Alvarez-Buylla Camino, M.; Barbón García, J.J.; Morís De La Tassa, G.; Pastor Hernández, L.
Archivos de la Sociedad Espanola de Oftalmologia 78(1): 43-46
2003
ISSN/ISBN: 0365-6691 PMID: 12571774 Document Number: 552209
We present a case of metastatic larynx cancer in the cavernous sinus. It presented itself as a right sixth cranial nerve palsy which progressed into a painful ophthalmoplegia with normal CT and RNM in its early stages. We must suspect a cavernous sinus invasion in patients with cranial nerve palsies and with a history of malignancy, despite negative radiologic findings. Tumoral invasion of the skull base has been described in pharyngeal neoplasms but it is exceptional in larynx carcinomas.