Asian Journal of Research and Reports in Ophthalmology

Unilateral Sixth Nerve Palsy Unveiling a Giant Nasopharyngeal Tumor: A Rare Case of Neuro Ophthalmic Presentation

S. Sadiki *

Department of Ophtalmology, Military hospital Mohamed V, Rabat, Morocco.

K. Sifnasr

Department of Radiology, Military hospital Mohamed V, Rabat, Morocco.

I. Tazi

Department of Anatomic Pathology, Military hospital Mohamed V, Rabat, Morocco.

S. Sebbata

Department of Ophtalmology, Military hospital Mohamed V, Rabat, Morocco.

Y. Achegri

Department of Ophtalmology, Military hospital Mohamed V, Rabat, Morocco.

S. Salama

Department of Ophtalmology, Military hospital Mohamed V, Rabat, Morocco.

A. Fiqhi

Department of Ophtalmology, Military hospital Mohamed V, Rabat, Morocco.

Y. Mouzari

Department of Ophtalmology, Military hospital Mohamed V, Rabat, Morocco.

A. Oubaaz

Department of Ophtalmology, Military hospital Mohamed V, Rabat, Morocco.

*Author to whom correspondence should be addressed.

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Abstract

Nasopharyngeal tumor is an intrusive tumor arising from the epithelium of the nasopharynx, presenting as different symptoms depending on the area of the development of the tumor. It is an endemic carcinoma in North Africa. The location of the tumor, its difficult access to the physical examination and the symptomatology often misleading associated with invasion of adjacent structures explain the often delayed diagnosis.

The purpose is to report a rare neuro-ophthalmic presentation of nasopharyngeal carcinoma.

We report the case of a 60 years old woman who first presented with a sixth nerve palsy leading to the diagnosis of a giant nasopharyngeal tumor extending to the cavernous sinus.

Keywords: Nasopharyngeal tumor, abducens, diplopia, cavernous sinus

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