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Abstract • Painful dysesthesia in association with ocular motor palsies characterized intraneural carcinomatous invasion in a 48-year-old man. Transcranial biopsy of the cavernous sinus stopped the pain; the specimen confirmed the diagnosis and provided the rationale for radiation therapy. One year after treatment, the patient was healthy and pain-free, with improved ocular motor function. The source of the carcinoma remains unknown. References 1. Thomas JE, Yoss RE: The parasellar syndrome: Problems in determining etiology . Mayo Clin Proc 45:617-623, 1970. 2. Jentzer A: Neurotropisme des céllules cancereuses: Clinique et thérapeutique des cancers neurotropes . Schweiz Med Wochenschr 60:1050-1052, 1930. 3. Jefferson G: The Bowman Lecture: Concerning injuries, aneurysms and tumors involving the cavernous sinus . Trans Ophthalmol Soc UK 73:117, 1953. 4. Ballantyne AJ, McCarten AB, Ibanez ML: The extension of cancer of the head and neck through peripheral nerves . Am J Surg 106:651, 1963.Crossref 5. Moore CE, Hoyt WF, North JB: Painful ophthalmoplegia following treated squamous carcinoma of the forehead . Med J Aust 1:657, 1976. 6. Dodd GD, Dolan PA, Ballantyne AJ: The dissemination of tumors of the head and neck via cranial nerves . Radiol Clin North Am 8:445-461, 1970. 7. Vignaud J, Clay C, Kujas A: Plébo-tomographies simultanées du sinus caverneux . Neurochirurgie 1:665, 1972.
Archives of Neurology – American Medical Association
Published: Jan 1, 1980
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