{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T15:02:48Z","timestamp":1785164568091,"version":"3.55.0"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:00:00Z","timestamp":1783468800000},"content-version":"vor","delay-in-days":7,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,7,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Metastasis to the internal auditory canal (IAC) is rare, representing less than 1% of lesions in this region. We report the case of a 76-year-old man with a history of esophageal adenocarcinoma treated with chemoradiotherapy, who presented with progressive dizziness and unilateral hearing loss. Days later, he developed acute left peripheral facial paralysis. Magnetic resonance imaging revealed an enhancing IAC lesion associated with two cerebellar nodules. Vestibular testing confirmed a complete unilateral deficit. Positron emission tomography (PET) imaging showed hypermetabolic activity in all lesions, and a stereotactic biopsy of the largest cerebellar nodule confirmed the diagnosis of metastatic adenocarcinoma consistent with the esophageal primary. Despite supportive care, the patient died within one month. This case highlights the need to consider metastatic disease in atypical audiovestibular presentations in patients with a cancer history.<\/jats:p>","DOI":"10.1093\/omcr\/omag103","type":"journal-article","created":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T13:53:12Z","timestamp":1783518792000},"source":"Crossref","is-referenced-by-count":0,"title":["An exceptional localization of esophageal cancer: metastasis to the internal auditory canal"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-6574-1399","authenticated-orcid":false,"given":"Thomas","family":"Renders","sequence":"first","affiliation":[{"name":"ENT Intern, Centre Hospitalier de Wallonie Picarde (CHwapi) , Rue des sports 51, 7500, Tournai ,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Younes","family":"Steffens","sequence":"additional","affiliation":[{"name":"ENT Resident, Centre Hospitalier de Wallonie Picarde (CHwapi) , Rue des sports 51, 7500, Tournai ,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Doyen","sequence":"additional","affiliation":[{"name":"ENT Resident and Department Training Supervisor, Centre Hospitalier de Wallonie Picarde (CHwapi) , Rue des sports 51, 7500, Tournai ,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,7,8]]},"reference":[{"key":"2026072710484594100_ref1","doi-asserted-by":"publisher","first-page":"798","DOI":"10.1016\/j.amjoto.2015.06.002","article-title":"High rate of bilaterality in internal auditory canal metastases","volume":"36","author":"Chang","year":"2015","journal-title":"Am J Otolaryngol"},{"key":"2026072710484594100_ref2","doi-asserted-by":"publisher","first-page":"209","DOI":"10.1001\/archotol.126.2.209","article-title":"Metastases to temporal bones from primary nonsystemic malignant neoplasms","volume":"126","author":"Gloria-Cruz","year":"2000","journal-title":"Arch Otolaryngol Head Neck Surg"},{"key":"2026072710484594100_ref3","first-page":"307","article-title":"Metastasis of cervical esophageal carcinoma to the temporal bone: a histopathological study","volume":"30","author":"Imauchi","year":"2003","journal-title":"Auris Nasus Larynx"},{"key":"2026072710484594100_ref4","first-page":"413","article-title":"Gastric carcinoma metastasis to the internal auditory canal: imaging case of the month","volume":"28","author":"Han","year":"2004","journal-title":"Clin Imaging"},{"key":"2026072710484594100_ref5","first-page":"e281","article-title":"Malignant meningitis secondary to oesophageal adenocarcinoma presenting with sensorineural hearing loss: a case series and literature review","volume":"357","author":"Adams","year":"2015","journal-title":"J Neurol 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case series and systematic review","volume":"28","author":"Lukas","year":"2015","journal-title":"Dis Esophagus"}],"container-title":["Oxford Medical Case 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