Nasopharyngeal Carcinoma Presenting with Cavernous Sinus Involvement, Trigeminal Neuralgia and Middle Ear

AUTHORS

Amit Agrawal 1 , * , N Baisakhiya 1 , SJ Vagh 1 , SR Joharapurkar 1

1 Datta Meghe Institute of Medical Sciences, Sawangi (Meghe), Wardha, India

How to Cite: Agrawal A , Baisakhiya N, Vagh S, Joharapurkar S. Nasopharyngeal Carcinoma Presenting with Cavernous Sinus Involvement, Trigeminal Neuralgia and Middle Ear , Int J Cancer Manag. 2009 ; 2(4):e80648.

ARTICLE INFORMATION

International Journal of Cancer Management: 2 (4); e80648
Published Online: December 30, 2009
Article Type: Case Report
Received: April 01, 2009
Accepted: April 17, 2009

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Abstract

We reported and analyzed an unusual case of NPC (Nasopharyngeal carcinoma) where the patient had initial clinical features of cavernous sinus involvement followed by trigeminal neuralgia and middle ear dysfunction. In the present case, the initial involvement of the cavernous sinus resulted in the left sided third nerve involvement. Later on, the extension of the tumor in and around the trigeminal ganglion resulted in facial pain. Up to that point in time, a possibility of cavernous sinus lesion was considered and this caused a delay in the diagnosis. In accordance with the literature, this case illustrates that the tumor is difficult to diagnose during the early stages for multiple reasons, including: the non-specicity of the initial symptoms, and the difficulty of examining the postnasal space.

Keywords

nasopharyngeal cancer ptosis trigeminal neuralgia cavernous sinus

© 2009, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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