RT Journal Article SR Electronic T1 Tonic pupil caused by adenoid cystic carcinoma versus postradiation changes to the ciliary ganglion JF BMJ Case Reports JO BMJ Case Reports FD BMJ Publishing Group Ltd SP e232755 DO 10.1136/bcr-2019-232755 VO 13 IS 7 A1 Yamane, Maya LM A1 Perez, Edgar L A1 Moonis, Gul A1 Odel, Jeffrey YR 2020 UL http://casereports.bmj.com/content/13/7/e232755.abstract AB 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.