Ophthalmic plastic and reconstructive surgery
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Ophthal Plast Reconstr Surg · Nov 2000
Case ReportsSquamous cell carcinoma with perineural invasion presenting as a Tolosa-Hunt-like syndrome: a potential pitfall in diagnosis.
To describe a case of perineural invasion resulting from squamous cell carcinoma of forehead. ⋯ A high level of suspicion for perineural invasion is required when assessing multiple cranial nerve palsies in patients with a history of cutaneous malignancy, despite negative sequential MRI. Perineural invasion must be ruled out by a biopsy of the involved nerves, whenever possible, before empiric therapy with systemic steroids is contemplated.