Journal of Medical Sciences

CASE REPORT
Year
: 2014  |  Volume : 34  |  Issue : 4  |  Page : 183--185

Acute painful ophthalmoplegia in a patient with hepatocellular carcinoma


Wei-Shih Tseng, Yueh-Feng Sung 
 Department of Diving Medicine, Zuoying Branch of Kaohsiung Armed Forces General Hospital, Kaohsiung; Department of Neurology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China

Correspondence Address:
Dr. Yueh-Feng Sung
Department of Neurology, Tri-Service General Hospital, National Defense Medical Center, No. 325, Sec. 2, Cheng-Gong Road, Taipei 114, Taiwan
Republic of China

We herein describe a 48-year-old man who developed acute painful ophthalmoplegia of the right eye for 5 days. Magnetic resonance imaging of the brain with contrast detected a contrast-enhancing lesion in the right cavernous sinus (CS) and petrous apex. Tolosa-Hunt syndrome was suspected initially, but later he was diagnosed as CS metastasis from hepatocellular carcinoma (HCC). To the best of our knowledge, only nine similar cases have been reported in the literature. We would like to remind clinicians to consider the possibility of CS metastasis in patients with primary HCC, who present with acute painful ophthalmoplegia.


How to cite this article:
Tseng WS, Sung YF. Acute painful ophthalmoplegia in a patient with hepatocellular carcinoma.J Med Sci 2014;34:183-185


How to cite this URL:
Tseng WS, Sung YF. Acute painful ophthalmoplegia in a patient with hepatocellular carcinoma. J Med Sci [serial online] 2014 [cited 2020 Jul 15 ];34:183-185
Available from: http://www.jmedscindmc.com/article.asp?issn=1011-4564;year=2014;volume=34;issue=4;spage=183;epage=185;aulast=Tseng;type=0