Tsuda Hiromasa, Yorinaga Yasuko, Tamada Yutaka, Kutsuki Shouji, Nakanoma Takashi, Tai Koki, Yoshioka Masahiro, Ishihara Naoki, Sekine Yumi, Ishikawa Hiroshi
Department of Internal Medicine, Eiseikai Minamitama Hospital, Tokyo.
Intern Med. 2009;48(16):1457-60. doi: 10.2169/internalmedicine.48.2319. Epub 2009 Aug 17.
A 74-year-old woman presented with abducens nerve palsy, postganglionic Horner syndrome and sensory disturbance in the territory of the ophthalmic nerve on the left side. Cranial magnetic resonance imaging demonstrated a gadolinium-enhanced lesion within the left cavernous sinus. Thereafter, uterine cervical cancer was detected as the origin of this intra-cavernous sinus metastasis. We emphasize 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. Moreover, this is the first reported case of uterine cervical cancer with intra-cavernous sinus metastasis.
一名74岁女性出现左侧展神经麻痹、节后性霍纳综合征以及眼神经支配区域的感觉障碍。头颅磁共振成像显示左侧海绵窦内有钆增强病变。此后，检测出子宫颈癌是该海绵窦内转移瘤的原发灶。我们强调，展神经麻痹与同侧节后性霍纳综合征同时出现可能提示病变位于海绵窦后部或其附近。此外，这是首例报道的子宫颈癌发生海绵窦内转移的病例。
