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Meningeal carcinomatosis as presenting symptom of a gallbladder carcinoma
R J Tans1, J Koudstaal, P J Koehler
1Department of Neurology, De Wever Ziekenhuis, Heerlen, The Netherlands.
Clinical Neurology and Neurosurgery
|September 1, 1993
Abstract:
Meningeal carcinomatosis as presenting symptom is rare. We report a patient who presented with an isolated abducens nerve palsy and an unsteady gait. At autopsy the primary tumor proved to be a gallbladder carcinoma. Only one similar case has been reported. Several aspects are discussed, including the route by which the tumor cells could have reached the subarachnoid space.