Adult onset, multiple oculo-motor nerve palsies are usually due to neoplasia and trauma. We report two cases whose initial presenting sign was oculo-motor cranial nerve palsy and were later found to have metastatic carcinoma.
Get full access to this article
View all access options for this article.
References
1.
TiffinPA, MacEwenCJ, CraigEA, ClaytonG.Acquired palsy of the oculomotor, trochlear and abducens nerves. Eye1996; 10 (Pt 3): 377–84.
2.
RichardsBW, JonesFRJr, YoungeBR. Causes and prognosis in 4,278 cases of paralysis of the oculomotor, trochlear, and abducens cranial nerves. Am J Ophthalmol1992; 113 (5): 489–96.
3.
KeaneJR, ZaiasB, ItabashiHH. Levator-sparing oculomotor nerve palsy caused by a solitary midbrain metastasis. Arch Neurol1984; 41 (2): 210–2.
NakashimaA, KawaiM, TofukuYPainful ophthalmoplegia caused by metastasis of cholangiocarcinoma of the liver. Ala J Med Sci1987; 24 (1): 29–30.
6.
IshikawaH, SatohH, FujiwaraMOculomotor nerve palsy caused by lung cancer metastasis. Intern Med1997; 36 (4): 301–3.
7.
PusateriTJ, SedwickLA, MargoCE. Isolated inferior rectus muscle palsy from a solitary metastasis to the oculomotor nucleus. Arch Ophthalmol1987; 105 (5): 675–7.
8.
ChouTM, DemerJL. Isolated inferior rectus palsy caused by a metastasis to the oculomotor nucleus. Am J Ophthalmol1998; 126 (5): 737–40.
9.
McAvoyCE, KamalarajabS, BestRBilateral third and unilateral sixth nerve palsies as early presenting signs of metastatic prostatic carcinoma. Eye2002; 16 (6): 749–53.
10.
JuneauP, SchoeneWC, BlackP. Malignant tumors in the pituitary gland. Arch Neurol1992; 49 (5): 555–8.
