Neuro-ophthalmologic manifestations of adenoid cystic carcinoma.
Intracranial adenoid cystic carcinoma is uncommon. We report two unusual cases of intracranial adenoid cystic carcinoma. The first patient presented with a steroid-responsive optic neuropathy from an orbital mass that simulated orbital pseudotumor, and subsequently developed intracranial involvement, presumably by contiguous perineural spread. The second patient presented with proptosis of the left eye, right facial weakness and numbness, and an intracranial mass, presumably from hematogenous metastatic spread.
Lee
A G
AG
Department of Ophthalmology, Baylor College of Medicine, Houston, Texas 77030, USA.
Phillips
P H
PH
Newman
N J
NJ
Hayman
L A
LA
Schiffman
J S
JS
Segal
S E
SE
Nauta
H J
HJ
Wolin
M J
MJ
Tang
R A
RA
D000328:Adult; D001921:Brain / Q000473:pathology; D001932:Brain Neoplasms / Q000473:pathology*; D003528:Carcinoma, Adenoid Cystic / Q000473:pathology / Q000556:secondary*; D003390:Cranial Nerve Neoplasms / Q000473:pathology / Q000556:secondary; D005094:Exophthalmos / Q000209:etiology; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009918:Orbital Neoplasms / Q000473:pathology / Q000556:secondary*; D010524:Peripheral Nervous System Neoplasms / Q000473:pathology / Q000556:secondary; D014276:Trigeminal Nerve / Q000473:pathology; D014792:Visual Acuity