Adenoid cystic carcinoma of the hard palate presenting as ipsilateral sixth nerve palsy
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Date
2018-08
Authors
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Journal ISSN
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Publisher
All India Ophthalmological Society
Abstract
Adenoid cystic carcinoma (ACC) is an uncommon malignant neoplasm composed of basaloid epithelial and myoepithelial cells. The palate is the most commonly involved intraoral site for ACC. Here, we document the case of an advanced ACC arising from the hard palate that presented with right-sided sixth nerve palsy in a 75-year-old male with no other systemic illnesses. ACC of the head and neck involving the cavernous sinus and presenting as isolated sixth nerve palsy is exceedingly rare. In the absence of vasculopathic or ischemic risk factors, regardless of the age of the patient; neuroimaging should be performed in cases of isolated nontraumatic sixth nerve palsy.
Description
Keywords
Abducens palsy, cavernous sinus, diplopia, lateral rectus palsy, metastasis, salivary gland tumor
Citation
Nair AG, Gopinathan I, Singh R, Pathak RS. Adenoid cystic carcinoma of the hard palate presenting as ipsilateral sixth nerve palsy. Indian Journal of Ophthalmology. 2018 Aug; 66(8): 1218-1220