Open AccessMultiple Cranial Nerve Palsies, Without Definitive Brain Lesion. Rare Case of Plasma Cell Myeloma
Author(s) -
Uzma Nasim Siddiqui
Publication year - 2019
Publication title -
proceedings
Language(s) - English
Resource type - Journals
eISSN - 2518-203X
pISSN - 1815-4905
DOI - 10.47489/p000s334z7331-3mc
Subject(s) - medicine , multiple myeloma , plasmacytoma , plasma cell myeloma , pathology , monoclonal gammopathy of undetermined significance , plasma cell , lesion , skeletal survey , bone marrow , diplopia , monoclonal , surgery , antibody , immunology , monoclonal antibody
Plasma cell myeloma rarely presents with neurological symptoms, and if this happens then cause is usuallyplasmacytoma. This is a very rare case to be presented as multiple cranial nerve palsies, unusual presentationof plasma cell myeloma without involvement of organic brain lesion in literature to date.A 70 years old gentleman having ESRD, was received with diplopia, deviation of angle of mouth, on and offchest pain. Investigations ruled out stroke, cardiac event, autoimmune process or any other possible cause ofcranial nerve palsies. Diagnosis of multiple myeloma was confirmed by immune electrophoresis whichshowed monoclonal gammopathy, punched out lytic lesions were found on skeletal scurvy and laterconfirmation was done by bone marrow biopsy for the presence of plasma cell myeloma.Key words: plasma cell myeloma, cranial nerve palsies