Adie’s Tonic Pupil in a Case of Recurrent Adenoid Cystic Carcinoma of Maxillary Sinus - An Ophthalmic Perspective
A gentleman without signs of tumour recurrence until a year following surgery for adenoid cystic carcinoma (ACC) of the maxillary sinus, presented with binocular diplopia, defective vision in the right eye and numbness in the right forehead. Examination revealed a right Adie’s pupil that concurred w...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2018-07-01
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| Series: | Delhi Journal of Ophthalmology |
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| Online Access: | https://journals.lww.com/10.7869/djo.381 |
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| author | Prithviraj Udaya Sairani Karanam |
| author_facet | Prithviraj Udaya Sairani Karanam |
| author_sort | Prithviraj Udaya |
| collection | DOAJ |
| description | A gentleman without signs of tumour recurrence until a year following surgery for adenoid cystic carcinoma (ACC) of the maxillary sinus, presented with binocular diplopia, defective vision in the right eye and numbness in the right forehead. Examination revealed a right Adie’s pupil that concurred with positive infraorbital nerve margins on intraoperative frozen section, indicating a perineural tumour spread. Diplopia and Hess charting verified a combined right sixth nerve and partial third nerve palsy. Neuroimaging confirmed extension of residual tumour to the right cavernous sinus apart from buckling of the right optic nerve. We report a unique case of recurrent ACC of maxillary sinus with partial cavernous sinus syndrome and an acquired Adie’s pupil consequent to intracranial extension and perineural spread. |
| format | Article |
| id | doaj-art-2fb399ba3cbd45f6aae70f2a5307a94a |
| institution | Kabale University |
| issn | 0972-0200 2454-2784 |
| language | English |
| publishDate | 2018-07-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Delhi Journal of Ophthalmology |
| spelling | doaj-art-2fb399ba3cbd45f6aae70f2a5307a94a2025-08-20T03:52:28ZengWolters Kluwer Medknow PublicationsDelhi Journal of Ophthalmology0972-02002454-27842018-07-01291606310.7869/djo.381Adie’s Tonic Pupil in a Case of Recurrent Adenoid Cystic Carcinoma of Maxillary Sinus - An Ophthalmic PerspectivePrithviraj UdayaSairani KaranamA gentleman without signs of tumour recurrence until a year following surgery for adenoid cystic carcinoma (ACC) of the maxillary sinus, presented with binocular diplopia, defective vision in the right eye and numbness in the right forehead. Examination revealed a right Adie’s pupil that concurred with positive infraorbital nerve margins on intraoperative frozen section, indicating a perineural tumour spread. Diplopia and Hess charting verified a combined right sixth nerve and partial third nerve palsy. Neuroimaging confirmed extension of residual tumour to the right cavernous sinus apart from buckling of the right optic nerve. We report a unique case of recurrent ACC of maxillary sinus with partial cavernous sinus syndrome and an acquired Adie’s pupil consequent to intracranial extension and perineural spread.https://journals.lww.com/10.7869/djo.381adenoid cystic carcinomamaxillary sinusperineuraladie’s tonic pupil |
| spellingShingle | Prithviraj Udaya Sairani Karanam Adie’s Tonic Pupil in a Case of Recurrent Adenoid Cystic Carcinoma of Maxillary Sinus - An Ophthalmic Perspective Delhi Journal of Ophthalmology adenoid cystic carcinoma maxillary sinus perineural adie’s tonic pupil |
| title | Adie’s Tonic Pupil in a Case of Recurrent Adenoid Cystic Carcinoma of Maxillary Sinus - An Ophthalmic Perspective |
| title_full | Adie’s Tonic Pupil in a Case of Recurrent Adenoid Cystic Carcinoma of Maxillary Sinus - An Ophthalmic Perspective |
| title_fullStr | Adie’s Tonic Pupil in a Case of Recurrent Adenoid Cystic Carcinoma of Maxillary Sinus - An Ophthalmic Perspective |
| title_full_unstemmed | Adie’s Tonic Pupil in a Case of Recurrent Adenoid Cystic Carcinoma of Maxillary Sinus - An Ophthalmic Perspective |
| title_short | Adie’s Tonic Pupil in a Case of Recurrent Adenoid Cystic Carcinoma of Maxillary Sinus - An Ophthalmic Perspective |
| title_sort | adie s tonic pupil in a case of recurrent adenoid cystic carcinoma of maxillary sinus an ophthalmic perspective |
| topic | adenoid cystic carcinoma maxillary sinus perineural adie’s tonic pupil |
| url | https://journals.lww.com/10.7869/djo.381 |
| work_keys_str_mv | AT prithvirajudaya adiestonicpupilinacaseofrecurrentadenoidcysticcarcinomaofmaxillarysinusanophthalmicperspective AT sairanikaranam adiestonicpupilinacaseofrecurrentadenoidcysticcarcinomaofmaxillarysinusanophthalmicperspective |