Escaping from the hunt

Benjamin Park; Subahari Raviskanthan; Peter Mortensen; Andrew G Lee; Jurij R Bilyk

doi:10.1016/j.survophthal.2020.10.005

Escaping from the hunt

Surv Ophthalmol. 2021 Nov-Dec;66(6):1065-1069. doi: 10.1016/j.survophthal.2020.10.005. Epub 2020 Oct 28.

Authors

Benjamin Park¹, Subahari Raviskanthan², Peter Mortensen², Andrew G Lee³, Jurij R Bilyk⁴

Affiliations

¹ McGovern Medical School, Houston, Texas, USA.
² Department of Ophthalmology, Blanton Eye Institute, Houston Methodist Hospital, Houston, Texas, USA.
³ Department of Ophthalmology, Blanton Eye Institute, Houston Methodist Hospital, Houston, Texas, USA; Departments of Ophthalmology, Neurology, and Neurosurgery, Weill Cornell Medicine, New York, New York, USA; Department of Ophthalmology, Baylor College of Medicine and University of Texas Medical Branch, Galveston, Texas, USA. Electronic address: aglee@houstonmethodist.org.
⁴ Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.

PMID: 33129799
DOI: 10.1016/j.survophthal.2020.10.005

Abstract

A 69-year-old woman presented with chronic, painful, progressive binocular diplopia. Examination showed deficits in multiple sequential cranial nerves (II, III, IV, V_1,2,3, and VI). She was initially diagnosed with Tolosa-Hunt syndrome and had a partial response to systemic corticosteroids. Skull base biopsy eventually showed poorly differentiated carcinoma consistent with perineural spread of squamous cell carcinoma.

Keywords: Tolosa-Hunt syndrome; perineural invasion; squamous cell carcinoma.

Publication types

Case Reports

MeSH terms

Aged
Biopsy
Diagnosis, Differential
Diplopia / diagnosis
Diplopia / etiology
Female
Humans
Magnetic Resonance Imaging
Ophthalmoplegia* / diagnosis
Tolosa-Hunt Syndrome* / diagnosis