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Unilateral Ptosis with Bilateral Incomplete Ophthalmoplegia as the Initial Presentation in Metastatic Cancer / 이화의대지
The Ewha Medical Journal ; : 136-139, 2017.
Article in English | WPRIM | ID: wpr-166007
ABSTRACT
Orbital metastases are rare and predominantly unilateral occurrences. Bilateral metastases affecting the extraocular muscles are extremely rare. A few case reports of bilateral metastases to extraocular muscles described binocular diplopia with conspicuous bilateral external ophthalmoplegia as an initial symptom. We report a case in which unilateral ptosis was an initial symptom and bilateral incomplete ophthalmoplegia was found on initial neurologic examination in invasive ductal carcinoma of the breast. The patient had hormone receptor-positive breast cancer, and so was treated by hormonal therapies and closely monitored. The presence of a secondary orbital lesion presents many difficulties of differential diagnosis and treatment. A thorough neurologic examination to detect ocular manifestations is most important for localization and broad differential diagnosis including mechanical orbital metastatic lesion.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Orbit / Breast / Breast Neoplasms / Orbital Neoplasms / Ophthalmoplegia / Carcinoma, Ductal, Breast / Carcinoma, Ductal / Diagnosis, Differential / Diplopia / Telescopes Type of study: Diagnostic study Limits: Humans Language: English Journal: The Ewha Medical Journal Year: 2017 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Orbit / Breast / Breast Neoplasms / Orbital Neoplasms / Ophthalmoplegia / Carcinoma, Ductal, Breast / Carcinoma, Ductal / Diagnosis, Differential / Diplopia / Telescopes Type of study: Diagnostic study Limits: Humans Language: English Journal: The Ewha Medical Journal Year: 2017 Type: Article