title: Combination of abducens nerve palsy and ipsilateral postganglionic Horner syndrome as an initial manifestation of uterine cervical cancer.
abstract: 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.
authors.affiliation: Department of Internal Medicine, Eiseikai Minamitama Hospital, Tokyo. tsuda@minamitama.jp
authors.forename: Hiromasa
authors.initials: H
authors.lastname: Tsuda
authors.forename: Yasuko
authors.initials: Y
authors.lastname: Yorinaga
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Tamada
authors.forename: Shouji
authors.initials: S
authors.lastname: Kutsuki
authors.forename: Takashi
authors.initials: T
authors.lastname: Nakanoma
authors.forename: Koki
authors.initials: K
authors.lastname: Tai
authors.forename: Masahiro
authors.initials: M
authors.lastname: Yoshioka
authors.forename: Naoki
authors.initials: N
authors.lastname: Ishihara
authors.forename: Yumi
authors.initials: Y
authors.lastname: Sekine
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Ishikawa
mesh_terms: 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*