Acute Painful Third Nerve Palsy in a 45 Year Old

Orbital pain; Diplopia; PtosisA 45-year old male with severe high orbital pain followed by double vision and ptosis.VA: Best-corrected 20/20 OU; Ocular motility OD was consistent with a third nerve palsyLeukemic infiltration from marrow of clivus.Corticosteroids1. Ingram et al. Cancer 1991;67:2262-8. 2. Levine et al. Cancer 1973;31:959-62. 3. Thomas. Cancer Res 1965;25:1555-71. 4. Azzarelli et Roessmann. Arch Pathol Lab Med 1977;101:203-205. 5. Hoogerbrugge & Hagenbeek. Leuk Res 1985;9:1397-1404; Gunter et al. Blood 1995;9:2537-45. 6. Gunther et al. Blood 1995;85(9):2537-45. 7. Lynch et al. Journal of National Cancer Institute 1975;55(3):611-7. 8. Ginsberg & Leeds. AJR 1995;165:525-34