Presumed Metastasis of Breast Cancer to the Abducens Nucleus Presenting as Gaze Palsy.
10.3341/kjo.2010.24.3.186
- Author:
Sang Beom HAN
1
;
Jae Hyoung KIM
;
Jeong Min HWANG
Author Information
1. Department of Ophthalmology, Seoul National University Bundang Hospital, Seongnam, Korea. hjm@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Abducens nerve palsy;
Breast neoplasms;
Neoplasm metastasis;
Pons;
Sixth nerve palsy
- MeSH:
*Abducens Nerve Diseases;
Breast Neoplasms/*pathology;
Cranial Nerve Neoplasms/*complications/*secondary;
Facial Paralysis/complications;
Female;
Fixation, Ocular;
Humans;
Magnetic Resonance Imaging;
Middle Aged;
Ocular Motility Disorders/*etiology/physiopathology;
Pons/pathology
- From:Korean Journal of Ophthalmology
2010;24(3):186-188
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 51-year-old woman with breast cancer presented with progressive diplopia. Neuro-ophthalmologic examination revealed right gaze palsy and peripheral facial nerve palsy. Brain magnetic resonance imaging (MRI) was normal. However, two months later a repeat brain MRI revealed an enhancing round nodular mass at the right facial colliculus of the lower pons, at the location of the abducens nucleus. Localized metastasis to the abducens nucleus can cause gaze palsy in a patient with breast cancer.