title: Isolated clival metastasis as the cause of abducens nerve palsy in a patient of breast carcinoma: A rare case report.
abstract: Metastatic lesions to the clivus have been reported in various cancers including lung cancer, prostate carcinoma, skin melanoma, and hepatocellular carcinoma. There have been only a few reports of breast cancer presenting with isolated clival metastasis. We report a case of 35-year-old lady, who was known case of breast carcinoma presented with diplopia as the only sign of clival metastasis. The etiology was established by magnetic resonance imaging which showed an enhancing lesion in the clivus. The diagnosis of clival metastasis from breast cancer was confirmed by transsphenoidal biopsy.
authors.affiliation: Department of Radiation Oncology, Acharya Tulsi Regional Cancer Treatment and Research Institute, Sardar Patel Medical College and Associated Group of Hospitals, Bikaner, Rajasthan, India.
authors.forename: Akhil
authors.initials: A
authors.lastname: Kapoor
authors.forename: Vimla
authors.initials: V
authors.lastname: Beniwal
authors.forename: Surender
authors.initials: S
authors.lastname: Beniwal
authors.forename: Harsh
authors.initials: H
authors.lastname: Mathur
authors.forename: Harvindra Singh
authors.initials: HS
authors.lastname: Kumar
mesh_terms: D020434:Abducens Nerve Diseases / Q000175:diagnosis / Q000209:etiology*; D000328:Adult; D001706:Biopsy; D001943:Breast Neoplasms / Q000150:complications / Q000473:pathology*; D018270:Carcinoma, Ductal, Breast / Q000150:complications / Q000175:diagnosis / Q000556:secondary*; D003388:Cranial Fossa, Posterior; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D035583:Rare Diseases; D019292:Skull Base Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000556:secondary