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Neurological Sciences

, Volume 27, Issue 4, pp 288–290 | Cite as

Isolated oculomotor nerve palsy as the presenting clinical manifestation of a meningeal carcinomatosis: a case report

  • R. NardoneEmail author
  • M. Herz
  • E. Egarter-Vigl
  • F. Tezzon
CASE REPORT

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.

Key words

Meningeal carcinomatosis Lung adenocarcinoma Oculomotor nerve Magnetic resonance imaging Cerebrospinal fluid analysis 

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Copyright information

© Springer-Verlag Italia 2006

Authors and Affiliations

  • R. Nardone
    • 1
    Email author
  • M. Herz
    • 2
  • E. Egarter-Vigl
    • 2
  • F. Tezzon
    • 1
  1. 1.Department of Neurology“F. Tappeiner” HospitalMerano (BZ)Italy
  2. 2.Department of PathologyCentral HospitalBolzano (BZ)Italy

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