Neurol. praxi. 2017;18(2):130-132 | DOI: 10.36290/neu.2017.076
What was hiding behind a migraine attack?
- Neurologické oddelenie, NsP Spišská Nová Ves
The case report presents a 60-year-old patient with a history of hypertension, ischaemic heart disease, hyperlipoproteinaemia,
and long-standing migraine, who was admitted to our department for a prolonged migraine attack not responding to normally
effective therapy. In the course of hospitalization, the patient developed diplopia and left oculomotor nerve lesion, with subsequent
bilateral, progressive deterioration in vision. Laboratory and additional paraclinical testing revealed leptomeningeal
carcinomatosis as well as a newly diagnosed gastric B-cell lymphoma.
Keywords: leptomeningeal carcinomatosis, paraneoplastic meningitis, oculomotor nerve lesion, lymphoma
Published: May 1, 2017 Show citation
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