Metastatic prostatic adenocarcinoma to the temporal bone

A patient had paralysis of multiple lower cranial nerves (VII, IX, X, XI, and XII) and oculosympathetic fibers, and ipsilateral conductive hearing loss. Histologic analysis of a surgical biopsy of the temporal bone revealed metastatic adenocarcinoma of prostatic origin. This is only the second reported case in the English literature (seventh in the world literature) of prostatic adenocarcinoma metastasizing to the temporal bone.