title: [Painful ophthalmoplegia secondary to larynx carcinoma].
abstract: METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Hospital Alvarez-Buylla, Mieres, Asturias, España.
authors.forename: M L
authors.initials: ML
authors.lastname: Alvarez Suárez
authors.forename: M
authors.initials: M
authors.lastname: Alvarez-Buylla Camino
authors.forename: J J
authors.initials: JJ
authors.lastname: Barbón García
authors.forename: G
authors.initials: G
authors.lastname: Morís De La Tassa
authors.forename: L
authors.initials: L
authors.lastname: Pastor Hernández
mesh_terms: D020434:Abducens Nerve Diseases / Q000209:etiology / Q000628:therapy; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000532:radiotherapy / Q000556:secondary*; D002426:Cavernous Sinus / Q000473:pathology*; D003131:Combined Modality Therapy; D003390:Cranial Nerve Neoplasms / Q000532:radiotherapy / Q000556:secondary*; D006801:Humans; D007822:Laryngeal Neoplasms / Q000473:pathology* / Q000628:therapy; D008279:Magnetic Resonance Imaging; D008297:Male; D009361:Neoplasm Invasiveness; D009886:Ophthalmoplegia / Q000209:etiology* / Q000628:therapy; D010166:Palliative Care; D020333:Tolosa-Hunt Syndrome / Q000209:etiology / Q000628:therapy