Meningeal carcinomatosis as presenting symptom of a gallbladder carcinoma.
Meningeal carcinomatosis as presenting symptom is rare. We report a patient who presented with an isolated abducens nerve palsy and an unsteady gait. At autopsy the primary tumor proved to be a gallbladder carcinoma. Only one similar case has been reported. Several aspects are discussed, including the route by which the tumor cells could have reached the subarachnoid space.
Tans
R J
RJ
Department of Neurology, De Wever Ziekenhuis, Heerlen, The Netherlands.
Koudstaal
J
J
Koehler
P J
PJ
D000010:Abducens Nerve / Q000473:pathology; D000230:Adenocarcinoma / Q000473:pathology / Q000556:secondary*; D000310:Adrenal Gland Neoplasms / Q000473:pathology / Q000556:secondary; D000311:Adrenal Glands / Q000473:pathology; D003390:Cranial Nerve Neoplasms / Q000473:pathology / Q000556:secondary; D003937:Diagnosis, Differential; D005260:Female; D005704:Gallbladder / Q000473:pathology; D005706:Gallbladder Neoplasms / Q000473:pathology*; D006801:Humans; D008577:Meningeal Neoplasms / Q000473:pathology / Q000556:secondary*; D008875:Middle Aged; D009886:Ophthalmoplegia / Q000473:pathology