Sinus Squamous Cell Carcinoma

EW was a 62-year-old engineer who noted difficulty in closing his left eye starting 4 months prior to presentation. Numerous specialists, including a neurologist, for the evaluation of an atypical Bell’s palsy, had seen him. He had undergone three MRI scans, two CT scans, two lumbar punctures, and numerous blood tests, including serology, to rule-out Lyme disease. He had recently noted a further reduction of vision in his left eye and had consulted with his local ophthalmologist, who diagnosed an inferior retinal detachment and referred him to a retinal specialist for surgery. The retinologist did not feel the retina was detached but suspected a choroidal detachment and referred him for echography.