Related Experiment Videos
[Isolated oculomotor palsy disclosing multiple myeloma]
A Feletti1, M Tartaglia, B Campanini
1Service d'Ophfalmologie, Ospedale Civile S. Maria della Scaletta, Imola, Italie.
Journal Francais D'Ophtalmologie
|January 1, 1995
Summary
Oculomotor nerve palsies can be rare initial signs of parasellar extramedullary plasmacytoma. Differentiating this from multiple myeloma is crucial for prognosis, as isolated tumors have a better outlook.
Area of Science:
- Neurology
- Oncology
Background:
- Extramedullary plasmacytoma is a rare plasma cell neoplasm.', 'Parasellar tumors can present with cranial nerve deficits.'], 3.
Observation:
- Two patients presented with isolated oculomotor nerve palsies (III and VI cranial nerves).
- Initial symptoms were uncommon manifestations of intracranial tumors.
Findings:
- Computed tomography confirmed intracranial plasmacytoma associated with multiple myeloma in both cases.
- Distinguishing between intracranial extramedullary plasmacytoma and plasmacytoma with multiple myeloma is vital.
Implications:
- Isolated intracranial extramedullary plasmacytoma may have a more favorable prognosis than plasmacytoma associated with multiple myeloma.
- Early diagnosis of cranial nerve palsies can indicate underlying neoplastic processes.