title: [Multiple myeloma presenting as cavernous sinus syndrome].
abstract: We report on a 70-year-old male who developed cavernous sinus syndrome as the initial symptom of multiple myeloma. He was admitted with diplopia and ptosis in October 2004. The diagnosis of multiple myeloma and cavernous sinus syndrome due to a gross mass at the sinus base were made. Cerebral computed tomography revealed that the lesion occupied the sphenoid sinus and involved the oculomoter nerve. He underwent local irradiation of the mass followed by systemic chemotherapy. The symptoms caused by the mass disappeared after the treatment. Clinicians need to be aware of the rare manifestation of multiple myeloma.
authors.affiliation: Department of Internal Medicine and Clinical Immunology, Yokohama City University Graduate School of Medicine.
authors.forename: Takuya
authors.initials: T
authors.lastname: Miyazaki
authors.forename: Jun
authors.initials: J
authors.lastname: Taguchi
authors.forename: Takashi
authors.initials: T
authors.lastname: Obana
authors.forename: Satoshi
authors.initials: S
authors.lastname: Yamaji
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Koharazawa
authors.forename: Katsumichi
authors.initials: K
authors.lastname: Fujimaki
authors.forename: Heiwa
authors.initials: H
authors.lastname: Kanamori
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Ishigatsubo
mesh_terms: D000368:Aged; D001921:Brain / Q000473:pathology*; D002426:Cavernous Sinus; D003389:Cranial Nerve Diseases / Q000175:diagnosis / Q000209:etiology* / Q000532:radiotherapy; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009101:Multiple Myeloma / Q000150:complications*; D015840:Oculomotor Nerve Diseases / Q000175:diagnosis / Q000209:etiology*; D013577:Syndrome