A. Feletti et al., ISOLATED OCULOMOTOR PALSY AS INITIAL MANI FESTATION OF MULTIPLE-MYELOMA, Journal francais d'ophtalmologie, 18(12), 1995, pp. 771-776
Two cases of oculomotor nerves involvement as uncommon initial manifes
tation of a parasellar extramedullary plasmacytoma are reported. The f
irst patient presented with an isolated left VI cranial nerve palsy; t
he second one had an incomplete left III cn nial nerve palsy. In both
cases clinical era investigation and computed tomography revealed an i
ntracranial plasmacytoma associated with multiple myeloma. If is impor
tant to underline the difference between an intracranial extramedullar
y plasmacytoma and a plasmacytoma associated with multiple myeloma. In
fact the absence of a general associated illness should show a most f
avourable course.