A case of Collet-Sicard syndrome presenting to the Oral and Maxillofacial Surgery Department and a review of the literature.
A case of Collet-Sicard Syndrome caused by skull base metastasis of probable breast adenocarcinoma is reported. A 79-year-old lady presented to the Oral and Maxillofacial Surgery Department with progressive left-sided tongue symptoms that she described as swelling. This was initially attributed to local disease, and a biopsy showed the patient was suffering from Necrotizing Sialometaplasia. However, her symptoms rapidly evolved into cranial nerve palsies affecting IX-XII, not initially diagnosed. Subsequent imaging revealed the cause of her worsening symptoms to be a metastatic lesion at her left skull base. Cranial nerve palsies due to metastases to the skull base are rare, and the authors would advise clinicians to adopt a high-index of suspicion in ruling out cranial nerve pathology at the skull base when encountering unusual signs and symptoms in the head and neck region.
Opie
Neil John
NJ
Worcestershire Royal Hospital, Charles Hastings Way, Worcester, WR5 1DD, UK. njo13@doctors.org.uk
Ur-Rehman
Khaleeq
K
James
Graham J
GJ
D020436:Accessory Nerve Diseases / Q000209:etiology; D000230:Adenocarcinoma / Q000556:secondary*; D000368:Aged; D001943:Breast Neoplasms / Q000473:pathology; D003389:Cranial Nerve Diseases / Q000209:etiology*; D003937:Diagnosis, Differential; D005260:Female; D020435:Glossopharyngeal Nerve Diseases / Q000209:etiology; D006801:Humans; D020437:Hypoglossal Nerve Diseases / Q000209:etiology; D010243:Paralysis / Q000209:etiology*; D012797:Sialometaplasia, Necrotizing / Q000175:diagnosis; D019292:Skull Base Neoplasms / Q000556:secondary*; D013577:Syndrome; D014060:Tongue Diseases / Q000175:diagnosis; D020421:Vagus Nerve Diseases / Q000209:etiology