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首页> 外文期刊>International Journal of Research in Medical Sciences >Multiple myeloma presenting as isolated sixth cranial nerve palsy
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Multiple myeloma presenting as isolated sixth cranial nerve palsy

机译：多发性骨髓瘤表现为孤立的第六颅神经麻痹

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摘要

Multiple myeloma with isolated third nerve palsy as the presenting complaint is a rare entity. We report a case of a 30-year-old man who developed sudden onset left-sided complete abducens nerve palsy without pain. Cranial and orbital magnetic resonance imaging and cerebrospinal fluid examination demonstrated no abnormalities. He was diagnosed as having IgG type multiple myeloma, based on the immunological and pathological investigation. After instituting chemotherapy, palsy resolved within 3 weeks. Etiology is not established beyond doubt but probably palsy was caused by nerve ischemia due to hyperviscosity of the serum.
机译：以主诉为主的多发性骨髓瘤伴以第三神经麻痹为罕见。我们报告了一例30岁男子突然发作左侧完全外展神经麻痹，没有疼痛。颅和眶磁共振成像和脑脊液检查未发现异常。根据免疫和病理研究，他被诊断患有IgG型多发性骨髓瘤。开始化疗后，麻痹症在3周内消退。病因尚无定论，但麻痹可能是由于血清高粘度引起的神经缺血引起的。

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