| Presented by: | Internal Medicine / Hiromasa Tsuda, Yasuko Yorinaga, Yutaka Tamada, Shouji Kutsuki, Takashi Nakanoma, Koki Tai, Masahiro Yoshioka, Naoki Ishihara, Yumi Sekine and Hiroshi Ishikawa |
| Summary points: | A 74-year-old woman presents with sudden onset horizontal diplopia. A slight restriction of abduction was observed in the left eye. Cranial computed tomography, fundscopic findings, laboratory data, computed tomography of the chest and abdomen, and gastric and colon fiberscopy are described. A marked erosion of the uterine cervix is noted. The authors discuss the first reported case of uterine cervical cancer with intra-cavernous sinus metastasis, and emphasise that the combination of abducens nerve palsy and ipsilateral postganglionic Horner syndrome may indicate a lesion located within the posterior portion of the cavernous sinus or in its vicinity. |
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Combination of Abducens Nerve Palsy and Ipsilateral Postganglionic Horner Syndrome as an Initial Manifestation of Uterine Cervical Cancer
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