Clival chordoma presenting as acute esotropia due to bilateral abducens palsy.
A case involving a 14-year-old girl having clival chordoma with symptoms of diplopia, acute esotropia, and bilateral abducens palsy is reported. Magnetic resonance imaging revealed a clival tumor invading the posterior edges of the bilateral cavernous sinuses. After removal of the tumor, no ocular manifestations were noted. The importance of acute esotropia as a sign indicating a possible brainstem mass is emphasized.
Harada
T
T
Department of Ophthalmology, Hokkaido University School of Medicine, Sapporo, Japan.
Ohashi
T
T
Ohki
K
K
Sawamura
Y
Y
Yoshida
K
K
Ito
T
T
Nagashima
K
K
Matsuda
H
H
D000010:Abducens Nerve; D000208:Acute Disease; D000293:Adolescent; D002426:Cavernous Sinus / Q000473:pathology; D002817:Chordoma / Q000175:diagnosis* / Q000601:surgery; D003388:Cranial Fossa, Posterior; D003389:Cranial Nerve Diseases / Q000150:complications; D004172:Diplopia / Q000175:diagnosis; D004948:Esotropia / Q000175:diagnosis* / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging; D009361:Neoplasm Invasiveness; D010243:Paralysis / Q000150:complications*; D012888:Skull Neoplasms / Q000175:diagnosis* / Q000601:surgery; D014057:Tomography, X-Ray Computed