![]() ![]() Palavras-chave: Núcleo do III nervo cranial, metástase, oftalmoplegia.ĭifferent kinds of lesions can compromise the third nerve nucleus 1,2. O exame de ressonância magnética evidenciou uma rara situação caracterizada por metástase isolada na região do núcleo do terceiro nervo craniano esquerdo provavelmente comprometendo o sub-núcleo do reto superior e o núcleo central caudal, justificando assim o envolvimento óculo motor bilateral. O presente relato descreve um homem de 76 anos que, após cirurgia de câncer de pulmão apresentou paralisia oculomotora extrínseca à esquerda e paralisia contralateral do músculo reto superior, além de ptose palpebral bilateral. Key words: Cranial third nerve nucleus, metastasis, ophthalmoplegia. Magnetic resonance imaging confirmed a rare situation characterized by an isolated metastasis in the region of the left third cranial nerve nucleus, probably compromising the superior rectus subnucleus and the central caudal nucleus, therefore justifying the bilateral oculomotor involvement. This article describes a 76 years old man that, after lung cancer surgery, showed left extrinsic oculomotor paralysis and contralateral paralysis of the superior rectus muscle associated with bilateral ptosis. IIMD, Neuropediatrician resident currently working in the Department of Neurology of Clementino Fraga Filho University Hospital, (UFRJ) IMD, PhD, National Cancer Institute of Rio de Janeiro, Associate Professor, Department of Neurology of Clementino Fraga Filho University Hospital, Federal University of Rio de Janeiro, Rio de Janeiro RJ, Brazil (UFRJ) Péricles Maranhão-Filho I Maria Elisa Paiva Pires II Metástase para o complexo nuclear oculomotor unilateral: relato de caso Metastasis to the unilateral oculomotor nucleus complex: case report ![]()
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