Nasopharyngeal carcinoma recurrence - skull base destruction

Case contributed by Dr Ian Bickle

Presentation

Previous history of nasopharyngeal carcinoma. Represents with multiple right sided cranial nerve palsies.

Patient Data

Age: 35
Gender: Male

Extensive destruction of the skull base, in particular note the absence of the foramen ovale and spinosum and destruction of the anterolateral wall of the carotid canal.

The contrast images demonstrate the solid-cystic infra-temporal fossa mass, which was proven to be recurrent nasopharyngeal tumour.

The exposed carotid artery is more evident.

The annotation highlighting the areas of bony destruction of the skull base, compared with the normal side.

Case Discussion

Anatomy of the skull base is complex, with multiple foraminae and vital neurovascular structures.

In this case, a recurrence of a known nasopharyngeal tumour in the skull base, demonstrates the anatomy well, through the asymmetry causes by destruction from the tumour mass.

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Case information

rID: 29107
Case created: 4th May 2014
Last edited: 20th May 2017
System: Head & Neck
Inclusion in quiz mode: Included

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