Complete Eye Ophthalmoplegia: the unusual initial presentation of Leptomeningeal Carcinomatosis

Abstract

Ophthalmoplegia is a paralysis or weakness of extraocular muscles that have a variety of different etiologies including and not limited to Leptomeningeal Carcinomatosis (LC). LC is caused mainly by metastatic cancers and can cause a wide variety of symptoms. We present a case of LC with no preexisting condition who presented with a unilateral ophthalmoplegia as initial presentation who was found to have LC secondary to large B-cell lymphoma.

Keywords

• Ophthalmoplegia
• Leptomeningeal Carcinomatosis
• large B-cell lymphoma
• non-hodgkin lymphoma