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  • Title: Sixth nerve palsy as the initial presenting sign of metastatic prostate cancer. A case report and review of the literature.
    Author: O'Boyle JE, Gardner TA, Oliva A, Enzenauer RW.
    Journal: J Clin Neuroophthalmol; 1992 Sep; 12(3):149-53. PubMed ID: 1401157.
    Abstract:
    Cranial nerve palsies secondary to metastatic prostate cancer are uncommon occurrences. Usually appearing late in the course of the disease, they are associated with a poor prognosis. We report a case of a 71-year-old man who initially complained of diplopia and was found to have a right sixth nerve palsy and hyperdeviation caused by a mass in the clivus. Biopsy of the mass and extensive systemic workup revealed metastatic adenocarcinoma of the prostate gland.
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