J Korean Ophthalmol Soc.  2010 Mar;51(3):469-472.

A Case of Eyeball Movement Disorder due to a Chondrosarcoma in the Cavernous Sinus

• Park JH
• Kim JH
• Lee SY

Abstract

PURPOSE
To report a patient with an eyeball movement disorder due to a chondrosarcoma in the left cavernous sinus.
CASE SUMMARY
A 33-year-old woman visited our clinic complaining of diplopia she hand for one month. She had been undergone two operation for the removal of chondrosarcoma in the left cavernous sinus, and she had left esotropia of 25 prism diopters in the primary position and limited abduction of approximately -1.5 in the left eye. Therefore she was treated with radiotherapy for six weeks. Three weeks after radiotherapy she had esotropia of 2 prism diopters in the primary position and limited abduction of approximately -1 in the left eye. Six weeks later, only limited abduction of approximately -0.5 in the left eye was present.
CONCLUSIONS
Eyeball movement disorders, like abducent nerve palsy, may develop as a result of tumors of the cavernous sinus and may be improved by the appropriate treatment of such tumors.

Keyword

Cavernous sinus; Chondrosarcoma; Diplopia; Eyeball movement disorder; Limitation of abduction

MeSH Terms

Abducens Nerve
Adult
Cavernous Sinus
Caves
Chondrosarcoma
Diplopia
Esotropia
Eye
Female
Hand
Humans
Movement Disorders
Paralysis

Figure

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  Figure 1. At the initial visit, the patient had approximately 25 prism diopters of left esodeviation (middle). Full adduction was present (left), but there was limitation of abduction of approximately −1.5 in the left eye (right).

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  Figure 2. Hess screen test. It showed a hypofunction of lateral rectus muscle of left eye and a hyperfunction of medial rectus muscle of right eye.

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  Figure 3. Magnetic resonance images. Coronal T1 enhanced imaging revealed a tumor in the left cavernous sinus (A). Axial T1 enhanced SPGR imaging revealed a 3.3×1.7 cm sized tumor involving the left cavernous sinus and petroclival bone (B).

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  Figure 4. Six weeks later, the patient had orthophoria so that she was diplopia-free in primary position (middle). But, she still had limitation of abduction of approximately −0.5 in the left eye (right).

Reference

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