Multiple myeloma presenting as isolated sixth cranial nerve palsy

Authors

  • Subrata Chakrabarti Department of General Medicine, IPGMER, Kolkata, West Bengal
  • Koushik Pan Department of General Medicine, IPGMER, Kolkata, West Bengal
  • Sujoy Panchadhyayee Department of General Medicine, IPGMER, Kolkata, West Bengal
  • Subrata Halder Department of General Medicine, IPGMER, Kolkata, West Bengal
  • Rajdip Chowdhury Department of General Medicine, IPGMER, Kolkata, West Bengal

Keywords:

Multiple myeloma, Abducens nerve

Abstract

Multiple myeloma with isolated third nerve palsy as the presenting complaint is a rare entity. We report a case of a 30-year-old man who developed sudden onset left-sided complete abducens nerve palsy without pain. Cranial and orbital magnetic resonance imaging and cerebrospinal fluid examination demonstrated no abnormalities. He was diagnosed as having IgG type multiple myeloma, based on the immunological and pathological investigation. After instituting chemotherapy, palsy resolved within 3 weeks. Etiology is not established beyond doubt but probably palsy was caused by nerve ischemia due to hyperviscosity of the serum. 

References

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Published

2017-01-23

How to Cite

Chakrabarti, S., Pan, K., Panchadhyayee, S., Halder, S., & Chowdhury, R. (2017). Multiple myeloma presenting as isolated sixth cranial nerve palsy. International Journal of Research in Medical Sciences, 2(2), 738–740. Retrieved from https://www.msjonline.org/index.php/ijrms/article/view/2232

Issue

Section

Case Reports