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.
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Nardone, R., Herz, M., Egarter-Vigl, E. et al. Isolated oculomotor nerve palsy as the presenting clinical manifestation of a meningeal carcinomatosis: a case report. Neurol Sci 27, 288–290 (2006). https://doi.org/10.1007/s10072-006-0687-7
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DOI: https://doi.org/10.1007/s10072-006-0687-7