Compressive optic neuropathy due to orbital metastasis of a sacral chordoma: case report

Ophthalmic Plast Reconstr Surg. 2005 May;21(3):245-7. doi: 10.1097/01.iop.0000159175.89287.1f.

Abstract

A 44-year-old man presented with unilateral proptosis and progressively deteriorating vision of his left eye over a 2-week period. He had a history of recurrent sacral chordoma for 1 year that had previously been treated with combined surgical excision, chemotherapy, and radiation therapy. MRI showed compression of the optic nerve by an orbital mass that proved to be an orbital metastasis of his sacral chordoma. The tumor mass was excised subtotally, and adjuvant orbital radiation therapy was administered.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Chordoma / secondary*
  • Chordoma / therapy
  • Combined Modality Therapy
  • Exophthalmos / etiology
  • Exophthalmos / therapy
  • Humans
  • Male
  • Neoplasm Recurrence, Local
  • Nerve Compression Syndromes / etiology*
  • Nerve Compression Syndromes / therapy
  • Ophthalmologic Surgical Procedures
  • Optic Nerve Diseases / etiology*
  • Optic Nerve Diseases / therapy
  • Orbital Neoplasms / secondary*
  • Orbital Neoplasms / therapy
  • Sacrococcygeal Region / pathology*
  • Spinal Neoplasms / pathology*
  • Spinal Neoplasms / therapy
  • Vision Disorders / etiology
  • Vision Disorders / therapy