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Intracranial plasmacytoma masquerading as Gradenigo’s syndrome
  1. R R A BOURNE,
  2. R E MAcLAREN
  1. Division of Ophthalmology, Royal Berkshire Hospital
  2. Reading RG1 5AN
  1. Dr R R A Bourne.

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Editor,—Maini and MacEwen recently published a report in the BJO 1 of intraorbital optic nerve compression secondary to an intracranial plasmacytoma. Although rare, extramedullary plasmacytomas usually present in the head and neck region,2 and with improved methods of intracranial imaging, it is likely that more of these tumours will be detected at an early stage by the ophthalmologist. Here, we report a similar case of intracranial plasmacytoma but presenting as a rare disorder of ocular motility normally associated with middle ear infection.

CASE REPORT

A 45 year old man presented to his general practitioner with a sudden onset of horizontal diplopia after blowing his nose vigorously. He was noted to have a mild pyrexia, left frontal sinus pain, and left sided otalgia but was otherwise well. Two years earlier the patient had been diagnosed as having myeloma following the detection of serum and urinary paraproteins in association with lytic lesions of the sternum and …

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