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Metastatic pancreatic carcinoma to the orbital apex presenting as a superior divisional third cranial nerve palsy.

Publication ,  Journal Article
Pecen, PE; Ramey, NA; Richard, MJ; Bhatti, MT
Published in: Clin Ophthalmol
2012

Metastatic tumors to the orbit are rare, especially from a primary pancreatic carcinoma. A 59-year-old man presented with 4 weeks of right eye pain and eyelid swelling. There was right upper eyelid ptosis associated with a right supraduction deficit consistent with a superior divisional third cranial nerve (CN III) palsy. Magnetic resonance imaging revealed a right orbital apex lesion. A right orbital exenteration was performed for intractable and severe pain. Surgical pathology demonstrated a poorly differentiated carcinoma that was ultimately felt to be derived from the pancreas. In this report, we describe the clinical and neurological imaging findings of a superior divisional CN III palsy as the presenting manifestation of a presumed metastatic pancreatic carcinoma to the orbital apex, and review the neuroanatomy of CN III with particular emphasis on the anatomical bifurcation of the nerve into a superior and inferior division.

Duke Scholars

Published In

Clin Ophthalmol

DOI

EISSN

1177-5483

Publication Date

2012

Volume

6

Start / End Page

1941 / 1943

Location

New Zealand

Related Subject Headings

  • 3212 Ophthalmology and optometry
  • 1113 Opthalmology and Optometry
 

Citation

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ICMJE
MLA
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Pecen, P. E., Ramey, N. A., Richard, M. J., & Bhatti, M. T. (2012). Metastatic pancreatic carcinoma to the orbital apex presenting as a superior divisional third cranial nerve palsy. Clin Ophthalmol, 6, 1941–1943. https://doi.org/10.2147/OPTH.S30208
Pecen, Paula E., Nicholas A. Ramey, Michael J. Richard, and M Tariq Bhatti. “Metastatic pancreatic carcinoma to the orbital apex presenting as a superior divisional third cranial nerve palsy.Clin Ophthalmol 6 (2012): 1941–43. https://doi.org/10.2147/OPTH.S30208.
Pecen PE, Ramey NA, Richard MJ, Bhatti MT. Metastatic pancreatic carcinoma to the orbital apex presenting as a superior divisional third cranial nerve palsy. Clin Ophthalmol. 2012;6:1941–3.
Pecen, Paula E., et al. “Metastatic pancreatic carcinoma to the orbital apex presenting as a superior divisional third cranial nerve palsy.Clin Ophthalmol, vol. 6, 2012, pp. 1941–43. Pubmed, doi:10.2147/OPTH.S30208.
Pecen PE, Ramey NA, Richard MJ, Bhatti MT. Metastatic pancreatic carcinoma to the orbital apex presenting as a superior divisional third cranial nerve palsy. Clin Ophthalmol. 2012;6:1941–1943.

Published In

Clin Ophthalmol

DOI

EISSN

1177-5483

Publication Date

2012

Volume

6

Start / End Page

1941 / 1943

Location

New Zealand

Related Subject Headings

  • 3212 Ophthalmology and optometry
  • 1113 Opthalmology and Optometry