Combination of abducens nerve palsy and ipsilateral postganglionic Horner syndrome as an initial manifestation of uterine cervical cancer.
A 74-year-old woman presented with abducens nerve palsy, postganglionic Horner syndrome and sensory disturbance in the territory of the ophthalmic nerve on the left side. Cranial magnetic resonance imaging demonstrated a gadolinium-enhanced lesion within the left cavernous sinus. Thereafter, uterine cervical cancer was detected as the origin of this intra-cavernous sinus metastasis. We emphasize that the combination of abducens nerve palsy and ipsilateral postganglionic Horner syndrome may indicate a lesion located within the posterior portion of the cavernous sinus or in its vicinity. Moreover, this is the first reported case of uterine cervical cancer with intra-cavernous sinus metastasis.
Tsuda
Hiromasa
H
Department of Internal Medicine, Eiseikai Minamitama Hospital, Tokyo. tsuda@minamitama.jp
Yorinaga
Yasuko
Y
Tamada
Yutaka
Y
Kutsuki
Shouji
S
Nakanoma
Takashi
T
Tai
Koki
K
Yoshioka
Masahiro
M
Ishihara
Naoki
N
Sekine
Yumi
Y
Ishikawa
Hiroshi
H
D020434:Abducens Nerve Diseases / Q000150:complications / Q000175:diagnosis*; D000368:Aged; D003937:Diagnosis, Differential; D005260:Female; D006732:Horner Syndrome / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D002583:Uterine Cervical Neoplasms / Q000150:complications / Q000175:diagnosis*