Patient of carcinoma cervix presenting with oculomotor palsy due to meningeal carcinomatosis- a case report

Authors

  • Harharpreet Kaur Department of Medicine, Professor, SGRD Medical College, Amritsar, Punjab
  • Kawalinder Girgila Department of Medicine, Professor, SGRD Medical College, Amritsar, Punjab
  • Inderjit Kaur Department of Medicine, Professor, SGRD Medical College, Amritsar, Punjab

DOI:

https://doi.org/10.18203/2320-6012.ijrms20163344

Keywords:

Meningeal carcinomatosis, Oculomotor nerve palsy, Cervical carcinoma

Abstract

We report a case of isolated pupil involving oculomotor nerve palsy as the inaugural and the only clinical sign of meningeal carcinomatosis (MC) in a patient of carcinoma of cervix. There were no other neurological signs and symptoms except for headache. The first MRI was unremarkable but a repeat MRI after 15 days showed meningeal enhancement which pointed towards the diagnosis. The CSF was also normal. This case highlights the importance of considering MC in all patients who develop sudden ptosis due to oculomotor palsy in a cancer patient even if MRI is normal.

References

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Pandaya A, Maharaj D, Rampersad R. Carcinomatosis Meningitis Presenting as Third Nerve Palsy. J Medical Cases. 2015;6(7):287-9.

Nardone R, Herz M, Egarter-Vigl E, Tezzon F. Isolated oculomotor nerve palsy as the presenting clinical manifestation of a meningeal carcinomatosis: a case report Neurol Sci. 2006;27:288-90.

Wilkins DE, Samhouri AM. Isolated bilateral oculomotor paresis due to lymphoma. Neurology. 1979;29:1525-428.

Olson ME, Chernik NL, Posner JB .Infiltration of the leptomeninges by systemic cancer. A clinical ad pathologic study. Arch Neurol. 1974;30:122-137.

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Published

2016-12-19

How to Cite

Kaur, H., Girgila, K., & Kaur, I. (2016). Patient of carcinoma cervix presenting with oculomotor palsy due to meningeal carcinomatosis- a case report. International Journal of Research in Medical Sciences, 4(10), 4637–4638. https://doi.org/10.18203/2320-6012.ijrms20163344

Issue

Section

Case Reports