Medina-Barrionuevo R, Jorge-Barroso HL, Apodaca-Cruz A, Gijón-Mitre V

Language: Spanish
References: 18
Page: 71-78
PDF size: 400.72 Kb.

ABSTRACT

Introduction: Cavernous sinus syndrome usually occurs as unilateral ophthalmoplegia and ipsilateral facial pain with involvement of cranial nerves in the parasellar region due to infectious, inflammatory, vascular or primary neoplasms causes. Infrequently, it is also described as an etiology the metastasis of solid tumors involving the cavernous sinus.
Case Report: We describe the case of a 46-year-old female diagnosed with breast cancer with clinical Stage IIIA, with 3 weeks frontal headache, left orbital pain and intermittent diplopia. Neurological examination revealed palpebral ptosis, dilated pupil with absence of pupillary reflexes and complete ophthalmoplegia of the left eye, hypoesthesia in frontal region and ipsilateral jaw. The MRI revealed the presence of tumor lesion in the left cavernous sinus.
Conclusion: Cavernous sinus syndrome can be a presentation of distant metastases of solid tumors. The particular clinic with ophthalmoparesis and painful headache as in the case presented should prompt this rare manifestation of breast cancer.

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