title: Sixth nerve palsy as the initial presenting sign of metastatic prostate cancer. A case report and review of the literature.
abstract: Cranial nerve palsies secondary to metastatic prostate cancer are uncommon occurrences. Usually appearing late in the course of the disease, they are associated with a poor prognosis. We report a case of a 71-year-old man who initially complained of diplopia and was found to have a right sixth nerve palsy and hyperdeviation caused by a mass in the clivus. Biopsy of the mass and extensive systemic workup revealed metastatic adenocarcinoma of the prostate gland.
authors.affiliation: Department of Surgery, Fitzsimons Army Medical Center, Aurora, Colorado 80045.
authors.forename: J E
authors.initials: JE
authors.lastname: O'Boyle
authors.forename: T A
authors.initials: TA
authors.lastname: Gardner
authors.forename: A
authors.initials: A
authors.lastname: Oliva
authors.forename: R W
authors.initials: RW
authors.lastname: Enzenauer
mesh_terms: D000010:Abducens Nerve; D000230:Adenocarcinoma / Q000150:complications / Q000556:secondary*; D000368:Aged; D003388:Cranial Fossa, Posterior; D003389:Cranial Nerve Diseases / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D010243:Paralysis / Q000209:etiology*; D011471:Prostatic Neoplasms / Q000150:complications / Q000175:diagnosis*; D012888:Skull Neoplasms / Q000150:complications / Q000556:secondary*