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Adenoid Cystic Carcinoma Presenting as Abducens Nerve Palsy Secondary to Cavernous Sinus Lesion
Christopher Donaldson1, Bryden Dawes1, Vivek Rathi2
1Department of Neurosurgery, St. Vincent's Hospital Melbourne, Fitzroy, VIC, Australia.
Background:
We report a 61-year-old who presented with a right-sided abducens nerve palsy secondary to a middle cranial fossa adenoid cystic carcinoma (ACC) extending into the cavernous sinus.
Purpose:
This case represents a unique presentation of intracranial ACC with a large middle cranial fossa mass and only a small extracranial component.
Methods:
Review of the literature was undertaken to identify cases of intracranial ACC and their range of presentations.
Results:
Our results show that this is the first reported case of an ACC presenting mostly as an intracranial mass with an isolated cranial nerve lesion.
Conclusion:
Our case highlights the importance of a broad differential diagnosis, particularly in circumstances where there are atypical features of lesions on radiographic imaging.
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