Painful ophthalmoplegia secondary to nasopharyngeal carcinoma: a case report.

Author: Young Bae ROH ¹ ; Jhoon Ho KIM ; Joo Young SONG ; Boo Sup OUM
Author Information

1. Department of Ophthalmology, College of Medicine, Pusan National University, Pusan, Korea.
Publication Type:Case Reports
Keywords: painful ophthalmoplegia; nasopharyngeal carcinoma; metastasis; biopsy; squamous cell carcinoma
MeSH: Brain Neoplasms/pathology/secondary; Carcinoma, Squamous Cell/*complications/pathology/secondary; Female; Humans; Middle Aged; Nasopharyngeal Neoplasms/*complications/pathology; Ophthalmoplegia/*etiology; Orbital Neoplasms/pathology/secondary; Pain/*etiology
From:Korean Journal of Ophthalmology 1990;4(2):112-115
CountryRepublic of Korea
Language:English
Abstract: A case of painful ophthalmoplegia with unilateral ocular pain, fixed eyeball to all directions of gaze, and loss of vision is presented. After intensive steroid therapy, conjunctival chemosis subsided markedly, but no improvement was seen in other clinical signs. We took a CT scan of orbit brain and performed nasopharyngeal biopsy and open biopsy through craniectomy. Based on the results of clinical features and findings of the CT scan and tissues, we diagnosed painful ophthalmoplegia secondary to nasopharyngeal carcinoma metastasized to orbital apex and brain.