Squamous cell carcinoma with perineural invasion presenting as a Tolosa-Hunt-like syndrome: a potential pitfall in diagnosis.

Abstract:

PURPOSE:To describe a case of perineural invasion resulting from squamous cell carcinoma of forehead. METHODS:Case report. RESULTS:Perineural invasion resulting from squamous cell carcinoma of the periocular skin can present as a Tolosa-Hunt-like syndrome with lack of radiologic findings on magnetic resonance imaging (MRI) in its early stages. CONCLUSION:A high level of suspicion for perineural invasion is required when assessing multiple cranial nerve palsies in patients with a history of cutaneous malignancy, despite negative sequential MRI. Perineural invasion must be ruled out by a biopsy of the involved nerves, whenever possible, before empiric therapy with systemic steroids is contemplated.

authors

Esmaeli B,Ginsberg L,Goepfert H,Deavers M

doi

10.1097/00002341-200011000-00009

subject

Has Abstract

pub_date

2000-11-01 00:00:00

pages

450-2

issue

6

eissn

0740-9303

issn

1537-2677

journal_volume

16

pub_type

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