A tonic pupil, without other features of an oculomotor neuropathy, is due to a lesion in the ciliary ganglion or short ciliary nerves. Here, we present a case of a tonic pupil in a woman with radiation-treated adenoid cystic carcinoma of the nasopharynx with perineural spread and skull base involvement. This a rare case of a tonic pupil caused by direct invasion of the ciliary ganglion or postradiation effects. © BMJ Publishing Group Limited 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Maya Lm Yamane, Edgar L Perez, Gul Moonis, Jeffrey Odel. Tonic pupil caused by adenoid cystic carcinoma versus postradiation changes to the ciliary ganglion. BMJ case reports. 2020 Jul 16;13(7)
PMID: 32675112
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