Rinsho Ganka Volume 71, Issue 4 (April 2017)
Japanese

A case of cerebral metastasis of cholangiocarcinoma with abducens palsy as the initial manifestation Manami Oguri 1 , Takako Tachikawa 1,2 , Yuko Kamei 1 , Tatsuya Mimura 1 , Masao Matsubara 1 1Department of Ophthamology, Tokyo Women's Medical University Medical Center East 2Department of Ophthalmology, Tokyo Metropolitan Ohtsuka Hospital pp.515-521
Published Date 2017/4/15
DOI https://doi.org/10.11477/mf.1410212222
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Abstract Purpose: To report a case of cerebral metastasis of cholangiocarcinoma with abducens palsy as the initial manifestation.

Case: A 73-year-old woman presented with left esotropia since 2 months before. She had received surgery for cholangiocarcinoma 5 months before.

Findings and Clinical Course: Corrected visual acuity was 1.2 right and 0.6 left. The left eye showed persistent esotropia by 60Δ. Contrast-enhanced magnetic resonance imaging(MRI)showed a metastatic tumor mass in the suprasellar region. Multiple lesions developed during the following one month, including blepharoptosis, dysarthria, and headache. Stereotactic radiotherapy was performed. Generalized metastasis developed, resulting in death 10 months after her initial consultation.

Conclusion: The present case illustrates that cerebral tumor or angioma may be the cause in acutely impaired ocular motility. Contrast MRI is indicated in the presence of history of malignancy.


Copyright © 2017, Igaku-Shoin Ltd. All rights reserved.

基本情報

03705579.71.4.jpg
臨床眼科
71巻4号 (2017年4月)
電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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