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Turkish Journal of Cancer
2007, Volume 37, Number 2, Page(s) 072-073
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Multiple cranial nerve paralysis in a patient with recurrent rectal adenocarcinoma: Imminent cerebellar herniation
HÜSEYİN ABALI1, NİLÜFER GÜLER1, HÜSEYİN ENGİN1, TİMUR KOÇAK2, NESLİHAN DAĞLI2, MUSTAFA ERMAN1, İSMAİL ÇELİK1
1Hacettepe University Medical School, Division of Medical Oncology, Ankara-Turkey
2Hacettepe University Medical School, Department of Internal Medicine, Ankara-Turkey

Rectal adenocarcinoma may spread to the central nervous system and may result in various symptomatologies. Rectal adenocarcinoma presenting with multiple cranial nerve palsies has not been reported. A case of metastatic rectal adenocarcinoma with audio-visual complaints is presented. The therapeutic approach is discussed briefly. It is concluded that multiple cranial nerve palsies in a case with rectal adenocarcinoma herald brainstem metastasis, high risk of sudden death and need for immediate intervention appropriately. [Turk J Cancer 2007;37(2):72-73]

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