New Onset Alacrima as a Presenting Feature of a Skull Base Chondrosarcoma. Issue 6 (November 2020)

• Record Type: Journal Article
• Authors: Lee, Hanbin; Oliphant, Huw; Vundavalli, Siriram; Taylor, Mark; Koenig, Michael; Hardwidge, Carl; Bucur, Sorin; Rajak, Saul N.
• Is Part Of: Ophthalmic plastic and reconstructive surgery. Volume 36:Issue 6(2020)
• Publication Date: 2020-11
• Subjects: Eye -- Surgery -- Periodicals; Ophthalmic plastic surgery -- Periodicals; Reconstructive Surgical Procedures -- Periodicals; Ophthalmologic Surgical Procedures -- Periodicals; Ophthalmology -- Periodicals; Surgery -- Periodicals; 617.70592
• DOI: 10.1097/IOP.0000000000001683
• Languages: English
• ISSNs: 0740-9303

Abstract

Abstract : Acquired unilateral alacrima as a presenting sign of an intracranial tumor is exceptionally rare, and only described once previously in a case of nasopharyngeal carcinoma. The authors present a 32-year-old female patient who presents with a year-long history of alacrima and arhinorrhea. She was subsequently diagnosed with a petroclival chondrosarcoma extending into Meckel's cave and the cavernous sinus and underwent surgical debulking. To the authors' knowledge, this is the first reported case of acquired unilateral alacrima as a presenting feature of a skull base chondrosarcoma. This case serves to remind general ophthalmologists and oculoplastic surgeons alike that acquired alacrima may be the presenting feature of serious intracranial disease. Abstract : Unilateral acquired alacrima is an exceptionally rare presenting symptom of an intracranial malignancy. We describe a case of a presentation of alacrima in a skull base chondrosarcoma.