Skip Navigation LinksHome > December 2001 - Volume 20 - Issue 4 > Sixth Nerve Palsy as a Presenting Sign of Intracranial Plasm...
Journal of Neuro-Ophthalmology:
Sixth Nerve Palsy as a Presenting Sign of Intracranial Plasmacytoma and Multiple Myeloma: PDF Only

Sixth Nerve Palsy as a Presenting Sign of Intracranial Plasmacytoma and Multiple Myeloma.

Movsas, Tammy Z. MD; Balcer, Laura J. MD, MSCE; Eggenberger, Eric R. DO; Hess, Jay L. MD, PhD; Galetta, Steven L. MD

Collapse Box

Abstract

: Multiple myeloma and plasmacytoma are rare causes of mass lesions at the skull base and cavernous sinus. Sixth nerve palsy, in isolation or in combination with other cranial neuropathies, may occur rarely as the initial presenting feature of multiple myeloma. We report the neuro-ophthalmologic, radiologic, and pathologic findings for two patients who developed sixth nerve palsies as an initial manifestation of intracranial plasmacytoma and multiple myeloma. One patient presented with an isolated sixth nerve palsy in the setting of multiple vasculopathic risk factors. Treatable skull base lesions, including plasmacytoma and multiple myeloma, must be considered in patients with sixth nerve palsies, especially among those who demonstrate a progressive course or multiple cranial neuropathies.

(C) 2001 Lippincott Williams & Wilkins, Inc.

Login

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.