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A case of abducens palsy due to metastasis of rectal cancer to the brain Rie Kobashi 1,2 , Satoshi Hasebe 1 , Takashi Furuse 1 , Shin Morisawa 1 , Hiroshi Ohtsuki 2 1Department of Ophthalmology 2, Kawasaki Medical School 2Department of Ophthalmology, Okayama Saiseikai General Hospital pp.349-355
Published Date 2017/3/15
DOI https://doi.org/10.11477/mf.1410212191
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Abstract Objective: Report of a rapidly progressing case of distant metastasis of rectal cancer to the cavernous sinus causing abducens nerve palsy.

Case: The patient was a 41-year-old woman who presented to our department with diplopia. She was found to have right abducens nerve palsy, which progressed to bilateral abduces nerve paralysis over a period of about 3 months, resulting in fatal outcome in 10 months. She had a history of colorectal cancer, and we suspected distant metastases to the brain from the initial consultation. However, initial non-contrast MRI revealed no obvious abnormalities, and she did not develop paralysis involving other eye-movement nerves. Therefore, we could not diagnose distant metastasis of the tumor to the cavernous sinus until its expansion and progression.

Conclusion: It is diagnostically imperative to perform contrast-enhanced MRI when distant metastasis is suspected.


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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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