Gastric Cancer with Disseminated Bone Marrow Carcinomatosis Initially Presenting with Paraneoplastic Abducens Nerve Palsy
Parésia Paraneoplásica do Nervo Abducente como Apresentação Inicial de Cancro Gástrico com Metastização para a Medula Óssea
DOI:
https://doi.org/10.60591/crspmi.185Keywords:
Abducens Nerve Diseases/complications, Neoplasm Metastasis, Neoplasms, Stomach Neoplasms, StrokeAbstract
Patients with cancer have a substantially increased risk of stroke, generally related to cancer-associated hyper¬coagulation.1-6 However, gastric cancer is not consistently listed as one of the cancers with the highest risk of stroke.4,7,8
Cancer-related cerebral embolism was never reported
in the literature as a cause of an isolated abducens palsy.
Generally, mononeuropathy of the abducens nerve in cancer patients is associated with tumor compression, increased intracranial pressure, or metastasis.9,10
Bone marrow is a rare local for metastasis in gastric cancer
and its co-occurence with embolic phenomena as initial
presentation is even rarer.11
We describe a rare case of unilateral abducens nerve
palsy associated with metastasized gastric carcinoma to
bone marrow.
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Copyright (c) 2024 Tatiana Pacheco, Ana Pacheco, Susana Teixeira, Mafalda Ferreira, Lindora Pires
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