Article type: Case Report
Article
title: Metastatic
lung adenocarcinoma presenting with isolated abducens palsy: case report and
literature review
Journal: Amrita
Journal of Medicine
Year: 2020
Authors: Jamir Pitton Rissardo, Ana Letícia Fornari
Caprara
E-mail: jamirrissardo@gmail.com
ABSTRACT
Almost
half of the individuals with lung cancer will develop central nervous system
metastases during the course of their disease. We report a case of an adult
female presenting with progressive horizontal diplopia. Neurological
examination showed horizontal diplopia in all directions of gaze. Eye movements
were disconjugate when looking to the left; there was no abduction of the left
eye. Bilateral vertical eye movements and right horizontal eye movements were
intact. A cranial computed tomography (CT) scan revealed multiple lesions in
both brain hemispheres suggestive of metastasis. An investigation to search for suspected neoplasia of unknown origin was started. Chest CT scan with contrast
revealed a large lesion, which was localized in the upper right lobe. An
abdominal CT scan showed multiple lesions in the liver. A liver biopsy and immunohistochemistry were diagnostic of adenocarcinoma of the lung. Three
months after, the patient died due to septic shock following pneumonia.
Key-words: Abducens, adenocarcinoma, diplopia, lung
Full text available at:
DOI
10.4103/AMJM.AMJM_8_19
Citation
Rissardo
JP, Caprara AL. Metastatic lung adenocarcinoma
presenting with isolated abducens palsy: case report and literature review. Amrita J Med 2020;16:33-5.
