Abstract
We are reporting a case of skull base metastasis from follicular carcinoma of thyroid in an adult lady. She presented with the history of a longstanding thyroid swelling and recent onset epistaxis and diplopia. She was evaluated and diagnosed to have follicular carcinoma of thyroid with metastasis to the skull base. She underwent Total Thyroidectomy with modified neck dissection followed by Radioiodine ablation of the metastasis.