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CASE REPORT
Year : 2021  |  Volume : 23  |  Issue : 4  |  Page : 161-163

Cerebrospinal fluid otorrhea and facial palsy – An unlikely presentation of metastatic nasopharyngeal carcinoma


1 Department of Otorhinolaryngology and Head and Neck Surgery, Universiti Kebangsaan Malaysia Medical Center, Kuala Lumpur, Malaysia
2 Department of Pathology, Universiti Kebangsaan Malaysia Medical Center, Kuala Lumpur, Malaysia

Correspondence Address:
Prof. Bee See Goh
Department of Otorhinolaryngology and Head and Neck Surgery, Universiti Kebangsaan Malaysia Medical Center, Jalan Yaacob Latif, 56000 Cheras, Kuala Lumpur
Malaysia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/sjoh.sjoh_16_21

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Cerebrospinal fluid (CSF) otorrhea and facial nerve palsy as a result of nasopharyngeal cancer (NPC) metastasis to the mastoid postradiotherapy is rarely encountered. The diagnosis is not straightforward as the initial presentation could be mistaken for the middle ear effusion or chronic otitis media which are common complications following radiotherapy. Persistent symptoms despite adequate medical therapy should alert the clinician to a more ominous pathology. We report a rare and unusual case of CSF otorrhea and facial palsy secondary to temporal bone metastasis in a patient with NPC postradiotherapy.


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