Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Sixth Cranial Nerve Palsy Caused by Gastric Adenocarcinoma Metastasis to the Clivus

  • Lee, Aleum (Department of Radiology, Soonchunhyang University Hospital) ;
  • Chang, Kee-Hyun (Department of Radiology, Soonchunhyang University Hospital) ;
  • Hong, Hyunsook (Department of Radiology, Soonchunhyang University Hospital) ;
  • Kim, Heekyung (Department of Pathology, Soonchunhyang University Hospital)
  • Received : 2013.03.27
  • Accepted : 2014.07.04
  • Published : 2015.03.28
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Abstract

Tumors of the clivus and metastases to the clivus are very rare. Metastasis involving the clivus has previously been described in only two case reports. In skull metastasis, the breast and prostate are the most common primary foci, while metastasis from gastric carcinoma is extremely rare. A review of the English literature revealed only one published case of clivus metastases from gastric adenocarcinoma. There is no literature thoroughly explaining the differential diagnosis between chordoma and metastasis. Here we report a rare case of metastasis to the clivus from a gastric adenocarcinoma in a 42-year-old female patient with sudden blurry vision, presenting as bilateral cranial nerve VI palsy.

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References

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