Metastatic Papillary Thyroid Carcinoma Presenting as Abducens Palsy Complicated by Ocular Neuromyotonia

Niloofar Yari, Angelina Espino Barros Palau, Michael L. Morgan, Nicholas B. Levine, Andrew G. Lee

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Papillary thyroid carcinoma (PTC) is a type of well-differentiated thyroid cancer that accounts for the majority of thyroid malignancies. The prognosis of PTC is very good and distant metastases are rare, especially to the skull base. The authors report the case of a 47-year-old woman with biopsy-proven PTC treated with surgery and radiation therapy who presented with headache and diplopia after 5 years and was found to have clivus and cavernous sinus metastasis. Following radiation therapy for her skull base and cavernous sinus lesion, she subsequently developed sixth nerve ocular neuromyotonia. Possible causes and treatments are reviewed.

Original languageEnglish (US)
Pages (from-to)97-101
Number of pages5
JournalNeuro-Ophthalmology
Volume40
Issue number2
DOIs
StatePublished - Mar 3 2016

Keywords

  • Abducens palsy
  • clivus
  • metastasis
  • ocular neuromyotonia
  • papillary thyroid cancer
  • skull

ASJC Scopus subject areas

  • Ophthalmology
  • Clinical Neurology

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