模拟Tolosa-Hunt综合征的隐匿性皮肤鳞状细胞癌的神经周围浸润。

IF 0.8 Q4 CLINICAL NEUROLOGY

Neuro-Ophthalmology Pub Date : 2024-06-27 eCollection Date: 2025-01-01 DOI:10.1080/01658107.2024.2367054

Alex Stubbing-Moore, Hussein Uraiby, Vincent Lam, Samira Anwar-Bhatti

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引用次数: 0

摘要

我们报告一例疼痛性左外展神经麻痹进展为左侧海绵窦综合征（CSS）。最初的鉴别诊断为Tolosa-Hunt综合征（THS），但临床病程不典型。随后，在活检之前隐匿的未确诊的新的前额皮肤鳞状细胞癌（SCC）后，证实了神经周围浸润（PNI）。本病例强调了当缺乏阳性神经影像或典型表现时，诊断疼痛性眼麻痹的挑战。最重要的信息是，对于怀疑有三手烟的人来说，详细的病史和高度怀疑是必要的。

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Perineural Invasion of Occult Cutaneous Squamous Cell Carcinoma Mimicking Tolosa-Hunt Syndrome.

We report a case of painful left abducens nerve palsy that progressed to a left cavernous sinus syndrome (CSS). The initial differential diagnosis was Tolosa-Hunt syndrome (THS), but the clinical course was atypical. Subsequently, perineural invasion (PNI) was demonstrated, after biopsy of a previously occult undiagnosed new cutaneous squamous cell carcinoma (SCC) of the forehead. This case emphasizes the challenges of diagnosing painful ophthalmoplegia when there is an absence of positive neuroimaging or typical findings. The take home message is that a detailed medical history and high index of suspicion are necessary in suspected THS.

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来源期刊

Neuro-Ophthalmology 医学-临床神经学

CiteScore

1.80

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Neuro-Ophthalmology publishes original papers on diagnostic methods in neuro-ophthalmology such as perimetry, neuro-imaging and electro-physiology; on the visual system such as the retina, ocular motor system and the pupil; on neuro-ophthalmic aspects of the orbit; and on related fields such as migraine and ocular manifestations of neurological diseases.