| Title |
Unilateral Fourth Nerve Palsy due to Presumed Metastatic Melanoma |
| Creator |
Joshua Pasol; Eric A. Mellon; Lynn G. Feun; Gaurav M. Saigal; Tejan P. Diwanji; Ricardo J. Komotar |
| Affiliation |
Department of Ophthalmology (JP), University of Miami Miller School of Medicine, Bascom Palmer Eye Institute, Miami, Florida; Department of Radiation Oncology (EAM, TPD), University of Miami Miller School of Medicine, Miami, Florida; Department of Hematology/Oncology (LGF), University of Miami Miller School of Medicine, Miami, Florida; Department of Radiology (GMS), University of Miami Miller School of Medicine, Miami, Florida; Department of Neurosurgery (RJK), University of Miami Miller School of Medicine, Miami, Florida |
| Abstract |
An 81-year-old man with a history of metastatic melanoma presented with sudden onset of painless, binocular vertical diplopia. The clinical examination was consistent with a right fourth nerve palsy. An MRI of the head revealed a mass dorsal to the right tectum at the level of the inferior colliculus. An MRI just 4 months prior did not show a lesion in that location. An MRA of the head did not show an aneurysm. This is a rare case of an isolated fourth nerve palsy believed to be due to metastatic melanoma compressing the nerve along the dorsal midbrain |
| Subject |
Aged, 80 and over; Brain Neoplasms / radiotherapy; Brain Neoplasms / secondary; Diplopia / diagnosis; Diplopia / etiology; Humans; Magnetic Resonance Angiography; Magnetic Resonance Imaging; Male; Melanoma, Amelanotic / radiotherapy; Melanoma, Amelanotic / secondary; Nerve Compression Syndromes / diagnostic imaging; Nerve Compression Syndromes / etiology; Radiosurgery; Skin Neoplasms / pathology; Skin Neoplasms / surgery; Trochlear Nerve Diseases / diagnostic imaging; Trochlear Nerve Diseases / etiology |
| Date |
2021-03 |
| Language |
eng |
| Format |
application/pdf |
| Type |
Text |
| Publication Type |
Journal Article |
| Source |
Journal of Neuro-Ophthalmology, March 2021, Volume 41, Issue 1 |
| Collection |
Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/ |
| Publisher |
Lippincott, Williams & Wilkins |
| Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
| Rights Management |
© North American Neuro-Ophthalmology Society |
| ARK |
ark:/87278/s682bet5 |
| Setname |
ehsl_novel_jno |
| ID |
1765176 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s682bet5 |
