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

doi:10.3109/01658107.2015.1132742

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 journal › Article › peer-review

4 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 language	English (US)
Pages (from-to)	97-101
Number of pages	5
Journal	Neuro-Ophthalmology
Volume	40
Issue number	2
DOIs	https://doi.org/10.3109/01658107.2015.1132742
State	Published - 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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10.3109/01658107.2015.1132742

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title = "Metastatic Papillary Thyroid Carcinoma Presenting as Abducens Palsy Complicated by Ocular Neuromyotonia",

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.",

keywords = "Abducens palsy, clivus, metastasis, ocular neuromyotonia, papillary thyroid cancer, skull",

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doi = "10.3109/01658107.2015.1132742",

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AU - Yari, Niloofar

AU - Espino Barros Palau, Angelina

AU - Morgan, Michael L.

AU - Levine, Nicholas B.

AU - Lee, Andrew G.

PY - 2016/3/3

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N2 - 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.

AB - 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.

KW - Abducens palsy

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KW - metastasis

KW - ocular neuromyotonia

KW - papillary thyroid cancer

KW - skull

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

Abstract

Keywords

ASJC Scopus subject areas

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