Vision Impairment: An Unusual Initial Presentation of Nasopharyngeal Carcinoma

Nor Azirah Salahuddin; Azreen Zaira Abu Bakar; Siti Asmat Md Arepen; Mawaddah Azman; Nor Eyzawiah Hassan

doi:10.33102/mjosht.v7i3.179

Authors

Nor Azirah Salahuddin Otorhinolaryngology, Head and Neck Surgery, Surgical-based Department, Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia, Negeri Sembilan, Malaysia
Azreen Zaira Abu Bakar Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Ampang, Selangor, Malaysia
Siti Asmat Md Arepen Otorhinolaryngology, Head and Neck Surgery, Surgical-based Department, Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia, Negeri Sembilan, Malaysia
Mawaddah Azman Department of Otorhinolaryngology, Head and Neck Surgery, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
Nor Eyzawiah Hassan Otorhinolaryngology, Head and Neck Surgery, Surgical-based Department, Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia, Negeri Sembilan, Malaysia

DOI:

https://doi.org/10.33102/mjosht.v7i3.179

Keywords:

Cranial nerves, Orbital apex, Nasopharyngeal carcinoma, Vision loss

Abstract

Nasopharyngeal carcinoma (NPC) is a rare malignancy worldwide. It is the fifth most common cancer among the Malaysian male. NPC is complex and unique in terms of its initial presentation. The patient usually presents late when the NPC is already in its advanced stage due to unusual and confusing nature of its manifestation which often misleads the clinician. Initial presentation of vision loss or impairment is rare in NPC. Up to date, there are only 9 reports of NPC cases presenting initially with impaired vision. We report a case of NPC with an uncommon initial presentation of bilateral visual impairment.

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