ABSTRACT: An 81-year-old man with a history of metastatic melanoma presented with sudden onset of painless, binocular vertical diplopia. The clinical examination was consistent with a right fourth nerve palsy. An MRI of the head revealed a mass dorsal to the right tectum at the level of the inferior colliculus. An MRI just 4 months prior did not show a lesion in that location. An MRA of the head did not show an aneurysm. This is a rare case of an isolated fourth nerve palsy believed to be due to metastatic melanoma compressing the nerve along the dorsal midbrain.
|Original language||English (US)|
|Journal||Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society|
|State||Published - Mar 1 2021|
ASJC Scopus subject areas
- Clinical Neurology