Keywords
Metastasis to Clivus
Cranial Nerve VI Palsy
Neurologia
Neoplasms
How to Cite
Abstract
This study aimed to report the case of a patient with metastasis of thyroid carcinoma to the clivus, highlighting the clinical presentation and the importance of a thorough diagnostic search. A descriptive study was carried out, based on clinical data, imaging exams, histopathological analysis and bibliographic review. A 61-year-old patient with divergent strabismus, eyelid ptosis, cranial nerve VI palsy and headache. Magnetic resonance imaging revealed an expansile lesion in the clivus, and histopathological examination confirmed differentiated thyroid carcinoma. The transsphenoidal approach was adopted for diagnosis and symptomatic relief, although complete resection was limited. It is concluded that metastases to the clivus represent a rare complication of thyroid carcinoma. The diagnostic approach should include detailed imaging exams and histopathological analysis, and multidisciplinary management is crucial to optimize treatment and patient quality of life.
References
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