Article Text

PDF
Metastastic choriocarcinoma causing cavernous sinus syndrome
  1. E Sharkawi,
  2. K Tumuluri,
  3. J M Olver
  1. Department of Ophthalmology, Charing Cross Hospital, Fulham Palace Road, London, UK
  1. Correspondence to: Eamon Sharkawi MBBS, BSc, MRCP, MRCOphth, Department of Ophthalmology, Charing Cross Hospital, Fulham Palace Road, London W6 8RF, UK; eamonshark{at}doctors.org.uk

Statistics from Altmetric.com

Choriocarcinoma is a rare trophoblastic tumour.1,2 We describe a case of metastatic choriocarcinoma to the cavernous sinus causing complete ophthalmoplegia and ptosis, following an uneventful pregnancy.

Case report

A 28 year old woman was referred to the oculoplastic and orbital service with a 1 week history of right sided ptosis and 6 weeks of right facial pain. Six weeks earlier she underwent evacuation of retained products of conception, following spontaneous vaginal delivery. Facial pain immediately ensued and her dentist extracted a right wisdom tooth, but the pain continued to worsen. The visual acuity was 6/9 right eye, 6/5 left eye, with complete right sided ptosis, total ophthalmoplegia, and a dilated unreactive pupil (fig 1A, B). Reduced …

View Full Text

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.