Meningeal carcinomatosis as presenting symptom of a gallbladder carcinoma

Meningeal carcinomatosis as presenting symptom is rare. We report a patient who presented with an isolated abducens nerve palsy and an unsteady gait. At autopsy the primary tumor proved to be a gallbladder carcinoma. Only one similar case has been reported. Several aspects are discussed, including t...

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Veröffentlicht in:	Clinical neurology and neurosurgery 1993-09, Vol.95 (3), p.253-256
Hauptverfasser:	Tans, R.J.J., Koudstaal, J., Koehler, P.J.
Format:	Artikel
Sprache:	eng
Schlagworte:	Abducens nerve Abducens Nerve - pathology Adenocarcinoma - pathology Adenocarcinoma - secondary Adrenal Gland Neoplasms - pathology Adrenal Gland Neoplasms - secondary Adrenal Glands - pathology Biological and medical sciences Cranial Nerve Neoplasms - pathology Cranial Nerve Neoplasms - secondary Diagnosis, Differential Female Gallbladder - pathology Gallbladder carcinoma Gallbladder Neoplasms - pathology Gastroenterology. Liver. Pancreas. Abdomen Humans Liver. Biliary tract. Portal circulation. Exocrine pancreas Medical sciences Meningeal carcinomatosis Meningeal Neoplasms - pathology Meningeal Neoplasms - secondary Middle Aged Ophthalmoplegia - pathology Tumors
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Zusammenfassung:	Meningeal carcinomatosis as presenting symptom is rare. We report a patient who presented with an isolated abducens nerve palsy and an unsteady gait. At autopsy the primary tumor proved to be a gallbladder carcinoma. Only one similar case has been reported. Several aspects are discussed, including the route by which the tumor cells could have reached the subarachnoid space.
ISSN:	0303-8467 1872-6968
DOI:	10.1016/0303-8467(93)90133-2