[Painful ophthalmoplegia secondary to larynx carcinoma].
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.
Alvarez Suárez
M L
ML
Hospital Alvarez-Buylla, Mieres, Asturias, España.
Alvarez-Buylla Camino
M
M
Barbón García
J J
JJ
Morís De La Tassa
G
G
Pastor Hernández
L
L
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