Indian Journal of Ophthalmology (Jan 2015)

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

  • Akhil Kapoor,
  • Vimla Beniwal,
  • Surender Beniwal,
  • Harsh Mathur,
  • Harvindra Singh Kumar

DOI
https://doi.org/10.4103/0301-4738.158096
Journal volume & issue
Vol. 63, no. 4
pp. 354 – 357

Abstract

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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.

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