Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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Cavernous Sinus Metastasis of Non-Small Cell Lung Cancer

  • Ahn, Young (Department of Internal Medicine, Korea Cancer Center Hospital) ;
  • Yang, Jae-Hyun (Department of Internal Medicine, Korea Cancer Center Hospital) ;
  • Kim, Hyung-Jin (Department of Internal Medicine, Korea Cancer Center Hospital) ;
  • Jang, Sang-Eon (Department of Internal Medicine, Korea Cancer Center Hospital) ;
  • Jang, Young-Joo (Department of Internal Medicine, Korea Cancer Center Hospital) ;
  • Kim, Hye-Ryoun (Department of Internal Medicine, Korea Cancer Center Hospital) ;
  • Kim, Cheol-Hyeon (Department of Internal Medicine, Korea Cancer Center Hospital) ;
  • Choi, Sang-Yul (Department of Opthalmology, Korea Cancer Center Hospital) ;
  • Lee, Jae-Cheol (Department of Internal Medicine, Korea Cancer Center Hospital)
  • Received : 2010.05.17
  • Accepted : 2010.10.25
  • Published : 2010.11.30
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Abstract

Progressive ptosis and headache developed in a 50-year-old woman with non-small cell lung cancer. Although brain magnetic resonance imaging showed improved cerebellar metastasis after prior radiotherapy without any other abnormality, the follow-up examination taken 6 months later revealed metastasis to the cavernous sinus. The diagnosis of metastasis to the cavernous sinus is often difficult because it is a very rare manifestation of lung cancer, and symptoms can occur prior to developing a radiologically detectable lesion. Therefore, when a strong clinical suspicion of cavernous sinus metastasis exists, thorough neurologic examination and serial brain imaging should be followed up to avoid overlooking the lesion.

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References

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