“…Acinic cell carcinoma makes up 10%–15% of primary salivary gland tumors, and most commonly arises in the parotid gland (1). Although paraneoplastic syndromes such as syndrome of inappropriate antidiuretic hormone have been reported, central nervous deficits related to a paraneoplastic etiology remain to be documented in acinic cell carcinoma (2). There is one reported case of ophthalmoplegia in acinic cell parotid cancer secondary to metastatic extension into the cavernous sinus (3).…”