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Case Series
Abducens nerve palsy in patients with metastatic carcinoma
1 Department of Ophthalmology, Faculty of Medicine, Hasanuddin University, Hasanuddin University Hospital, DR. Wahidin Sudirohusodo, Makassar, Indonesia
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Yunita Mansyur
Department of Ophthalmology, Faculty of Medicine, Hasanuddin University, Hasanuddin University Hospital, DR. Wahidin Sudirohusodo Hospital,
Indonesia
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Article ID: 100007Z17YM2018
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How to cite this article
Mansyur Y, Handayani S, Umar BT, Pagarra H. Abducens nerve palsy in patients with metastatic carcinoma. J Case Rep Images Opthalmol 2018;1:100007Z17YM2018.ABSTRACT
Introduction: Abducens nerve palsy is a nerve disorder that occurs when the sixth cranial nerve is impaired. Signs and symptoms may include double vision, headache, and pain around the eyes. There are several conditions that can cause this problem; one of them is a compression of tumor. We report two cases of abducens nerve palsy in patients with metastatic carcinoma.
Case Report: Two patients were referred to ophthalmology department presented with double vision and marked limitation of abduction. Both patients had a history of tumors, namely breast and cervix carcinoma. Ophthalmology examination showed normal results, except that we found papiledema on both eyes of one patient. Head CT-Scan with contrast revealed intracranial mass, possibly a metastatic lesion from carcinoma which compressed abducens nerve directly or indirectly.
Conclusion: Abducens nerve palsy may be a comparative event of intracranial mass. Determining the cranial nerve depends on its anatomic location of the tumors. History of disease and imaging are helpful in diagnosis. Cranial nerve palsy may increase awareness of intracranial condition in patients with carcinoma.
Keywords: Abducens nerve palsy, Intracranial tumor
SUPPORTING INFORMATION
Author Contributions
Yunita Mansyur - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Sri Handayani - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Batari Todja Umar - Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Halimah Pagarra - Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this case series.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2018 Yunita Mansyur et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
