Acta Neurologica Belgica https://doi.org/10.1007/s13760-018-0960-6 LE T TER TO THE EDITOR Loss of intrinsic and extrinsic motility of third nerve revealing breast cancer recurrence 1 1 3 2 1 Guillaume Costentin · Jean‑Paul Bouwyn · Valérie Macaigne · Jean‑Christophe Théry · Romain Lefaucheur Received: 26 May 2018 / Accepted: 3 June 2018 © Belgian Neurological Society 2018 Keywords Extrinsic and intrinsic · Third nerve palsy with pupillary involvement · Metastasis · Oculomotor nerve Case report small gadolinium-enhanced lesion at the left clinoid process level on T1 weighted-sequences (cf. Fig. 1a–d). We then A 30-year-old woman was referred for painless diplopia. hypothesized that the patient had breast cancer metastasis Her only medical history was a breast cancer diagnosed located on the third left nerve next to the clinoid process. 3 years earlier that had been treated with breast-conserving CSF cytologic tests were negative for malignancy. Serum resection surgery with adjuvant chemotherapy. Breast cancer and CSF paraneoplastic antibodies were negative. was considered in complete remission. Clinical examination The patient was treated with IV methylprednisolone only revealed mild weakness of adduction of the left eye; (1 g daily for 3 days) followed by oral prednisone (1 mg/ oculomotricity was otherwise normal. Pupils were normal. kg daily). Pain, mydriasis, and diplopia mildly improved. Hess–Lancaster test confirmed isolated weakness of
Acta Neurologica Belgica – Springer Journals
Published: Jun 5, 2018
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