Ophthalmoplegia and facial numbness following treated squamous carcinoma of the forehead.
A 62-year-old man presented with progressive diplopia, left ptosis, proptosis, complete ophthalmoplegia, facial numbness, and headache of 2 1/2 months' duration. The symptoms started 1 month after surgical resection of a squamous cell carcinoma in the left side of the forehead. Imaging studies helped localize the lesion, correlating with clinical features. The differential diagnosis is discussed. The final diagnosis was confirmed by autopsy.
Hwang
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TL
Neurology Division, University of South Carolina School of Medicine, Dorn VA Medical Center, Columbia 29203, USA.
Kolb
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TA
Domers
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M
D001932:Brain Neoplasms / Q000556:secondary; D002294:Carcinoma, Squamous Cell / Q000556:secondary* / Q000601:surgery*; D002426:Cavernous Sinus / Q000473:pathology; D003390:Cranial Nerve Neoplasms / Q000556:secondary; D003937:Diagnosis, Differential; D005145:Face / Q000294:innervation*; D005153:Facial Neoplasms / Q000601:surgery*; D017809:Fatal Outcome; D005546:Forehead / Q000601:surgery*; D006801:Humans; D006987:Hypesthesia / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D009886:Ophthalmoplegia / Q000209:etiology*; D009918:Orbital Neoplasms / Q000556:secondary; D012878:Skin Neoplasms / Q000601:surgery*; D012668:Trigeminal Ganglion / Q000473:pathology