Metastatic Infiltration of Nerves in the Cavernous Sinus

Authors:
  • RURenate Unsöld
    Renate Unsöld
  • ASAvinoam B. Safran
    Avinoam B. Safran
  • ESEdith Safran
    Edith Safran
  • WHWilliam F. Hoyt
    William F. Hoyt

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.