Isolated clival metastasis as the cause of abducens nerve palsy in a patient of breast carcinoma: A rare case report

Metastatic lesions to the clivus have been reported in various cancers including lung cancer, prostate carcinoma, skin melanoma, and hepatocellular carcinoma. There have been only a few reports of breast cancer presenting with isolated clival metastasis. We report a case of 35-year-old lady, who was...

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Veröffentlicht in:	Indian journal of ophthalmology 2015-04, Vol.63 (4), p.354-357
Hauptverfasser:	Kapoor, Akhil, Beniwal, Vimla, Beniwal, Surender, Mathur, Harsh, Kumar, Harvindra
Format:	Artikel
Sprache:	eng
Schlagworte:	Abducens nerve diseases Abducens Nerve Diseases - diagnosis Abducens Nerve Diseases - etiology Abducens palsy Adult Advanced glaucoma Basal encephalocele Biopsy Breast cancer Breast Neoplasms - complications Breast Neoplasms - pathology Brief Communications Carcinoma, Ductal, Breast - complications Carcinoma, Ductal, Breast - diagnosis Carcinoma, Ductal, Breast - secondary Care and treatment Case studies cleft lip and palate clival metastasis Complications and side effects Confocal microscopy Contact lens Corvis ST Cranial Fossa, Posterior Cytokine Dacryocystorhinostomy Deep anterior lamellar keratoplasty Dengue foveolitis dengue maculopathy Development and progression diabetic macular edema diplopia Dragged disc Emergence Eye Female genetic blueprint Head and neck cancer Humans intra-arterial chemotherapy intraocular pressure intubation Juvenile colloid milia Klebsiella pneumoniae lacrimal surgery ligneous conjunctivitis macular coloboma macular coloboma differentials Macular GHPC Magnetic Resonance Imaging meibomian gland meibomian gland microenvironment mitomycin-C nasolacrimal duct obstruction Ophthalmology optic disc pit with maculopathy optical coherence tomography papillary formation photoreceptor postoperative keratitis primary acquired nasolacrimal duct obstruction pseudomembranous conjunctivitis pulse cyclophosphamide Rare Diseases reproducibility residents retina retinal genetics retinal nerve fiber layer thickness retinoblastoma serpiginous choroidopathy Skull Base Neoplasms - complications Skull Base Neoplasms - diagnosis Skull Base Neoplasms - secondary spectral domain spectral domain optical coherence tomography surgical training survey tumor vernal keratoconjunctivitis
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Zusammenfassung:	Metastatic lesions to the clivus have been reported in various cancers including lung cancer, prostate carcinoma, skin melanoma, and hepatocellular carcinoma. There have been only a few reports of breast cancer presenting with isolated clival metastasis. We report a case of 35-year-old lady, who was known case of breast carcinoma presented with diplopia as the only sign of clival metastasis. The etiology was established by magnetic resonance imaging which showed an enhancing lesion in the clivus. The diagnosis of clival metastasis from breast cancer was confirmed by transsphenoidal biopsy.
ISSN:	0301-4738 1998-3689
DOI:	10.4103/0301-4738.158096