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Acute Isolated Abducens Paresis as an Initial Presentation of Metastatic Small Cell Lung Cancer
Neuro-Ophthalmology, 10/12/09

Chien KH et al. – A 57–year–old healthy male bus driver presented himself with a complaint of acute diplopia that lasted a few hours. Ophthalmologic examination disclosed a visual acuity of 6/7.5 in the right eye and 6/6 in the left eye. Isolated right abducens palsy was the only abnormal finding. However, brain MRI showed multiple brain metastatic lesions and bronchial biopsy revealed small cell lung cancer as the primary malignancy. The patient then received a series of chemotherapy treatments and brain radiotherapy.

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