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Fast-growing adenoid cystic carcinoma: a neurotropic malignancy
  1. J A Oates1,
  2. D C Kinsella2,
  3. N J Gutowski3
  1. 1Department of Neurology, Royal Devon & Exeter Hospital, Exeter, UK; Peninsula Medical School, Exeter
  2. 2Department of Radiology, Royal Devon & Exeter Hospital
  3. 3Peninsula Medical School, Exeter
  1. Correspondence to:
 N J Gutowski
 Department of Neurology, Royal Devon & Exeter Hospital, NHS Foundation Trust, Barrack Road, Exeter EX2 5DW, UK; N.J.Gutowski{at}exeter.ac.uk

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An 81-year-old man presented to the neurology department with a 2-month history of diplopia and recent onset of left-sided ptosis. He had also had pain in the left eye and left nasal congestion for the past month.

Two years ago, he had presented to a different department with a 6-month history of left upper lip and cheek paraesthesia, which was still present. At that time, a small (1×0.5 cm) mobile lump was found in the …

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