Carcinomatosis Meningitis Presenting as Third Nerve Palsy

Avidesh Panday, Dale Maharaj, Robbie Rampersad


Carcinomatosis meningitis is associated with 5-8% of patients with malignancy. The diagnosis is usually suspected in patients with known malignancy and based on clinical symptoms as well as supportive cerebrospinal fluid studies. We present a case of carcinomatous meningitis where no suspicion of malignancy was evident and where the clinical course and laboratory investigations were atypical for the diagnosis.

J Med Cases. 2015;6(7):287-289


Breast cancer; Leptomeningeal carcinomatosis; Visual loss; Cranial nerve palsy; Osteosclerotic

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