Forschungsdatenbank PMU-SQQUID

PMU-Autor/inn/en

Abstract

We present a previously unreported case of isolated oculomotor nerve palsy as the inaugural clinical sign of meningeal carcinomatosis (MC). Gadolinium-enhanced magnetic resonance images (MRI) were unremarkable. Cerebrospinal fluid (CSF) analysis showed malignant cells consistent with a pulmonary adenocarcinoma; the chest CT revealed a small pulmonary mass in the upper right lobe. This case highlights the importance of considering MC in all patients who develop sudden oculomotor palsy; lumbar punctures should always be performed on patients with normal MRI when other possible causes of oculomotor palsy have been ruled out.

Useful keywords (using NLM MeSH Indexing)

Carcinoma/cerebrospinal fluid

Carcinoma/complications

Carcinoma/diagnosis*

Humans

Magnetic Resonance Imaging/methods

Male

Meningeal Neoplasms/cerebrospinal fluid

Meningeal Neoplasms/complications*

Meningeal Neoplasms/diagnosis

Middle Aged

Oculomotor Nerve Diseases/cerebrospinal fluid

Oculomotor Nerve Diseases/diagnosis

Oculomotor Nerve Diseases/etiology*

Tomography, X-Ray Computed/methods

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