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Isolated oculomotor nerve palsy as the presenting clinical manifestation of a meningeal carcinomatosis: a case report.
Nardone, R; Herz, M; Egarter-Vigl, E; Tezzon, F.
Afiliación
  • Nardone R; Department of Neurology, F. Tappeiner Hospital, Via Rossini 5, I-39012, Merano (BZ), Italy. raffaele.nardone@asbmeran-o.it
Neurol Sci ; 27(4): 288-90, 2006 Sep.
Article en En | MEDLINE | ID: mdl-16998736
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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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Carcinoma / Enfermedades del Nervio Oculomotor / Neoplasias Meníngeas Tipo de estudio: Diagnostic_studies Límite: Humans / Male / Middle aged Idioma: En Revista: Neurol Sci Asunto de la revista: NEUROLOGIA Año: 2006 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Italia
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Carcinoma / Enfermedades del Nervio Oculomotor / Neoplasias Meníngeas Tipo de estudio: Diagnostic_studies Límite: Humans / Male / Middle aged Idioma: En Revista: Neurol Sci Asunto de la revista: NEUROLOGIA Año: 2006 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Italia