Don't Sweat It

Question: A 57-year-old woman with a 70-pack-year history of smoking was previously treated for a T1a glottic squamous cell carcinoma 6 years ago with transoral laser surgery. Her postoperative serial examinations, including nasopharyngoscopy, have been negative thus far. She recently contacted you for evaluation of a persistent cough and has also noticed a droopy eyelid and small pupil. What is the most likely diagnosis?

[Answer will be posted with next week's new question]


Answer to last week's question, Pain & Double Vision

Ipsilaleral rectus palsy is most likely, from involvement of the abducens nerve. Gradenigo's triad is associated with petrous apicitis and is characterized by otorrhea, retroorbital headache, and lateral rectus palsy.