Abstract

RECHE-SAINZ, J.A.; GARCIA-SAENZ, S.  and  TOLEDANO-FERNANDEZ, N.. Bilateral third cranial nerve palsy secondary to lung carcinoma metastasis. Arch Soc Esp Oftalmol [online]. 2009, vol.84, n.8, pp.399-401. ISSN 0365-6691.

Clinical Case: A 58 year-old man with a known diagnosis of a large cell lung carcinoma, developed a progressive diplopia. His examination revealed a double oculomotor nerve palsy with dilated and poorly reactive pupils. A cranial magnetic resonance showed an unique and solitary lesion in the midbrain, which presumably affected to both oculomotor nucleus and fasciculus. There were not found additional extrathoracic manifestations. Discussion: This case shows the possibility that a large cell lung carcinoma may cause a double oculomotor nerve palsy as the consequence of an isolated midbrain metastasis.

Keywords : Third cranial nerve; palsy; midbrain; metastasis; large cell lung carcinoma.

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