CLIVUS METASTASIS PRESENTING AS ISOLATED ABDUCENS NERVE PALSY – CASE REPORT

A 50 year old lady with past history of breast carcinoma surgery presented with progressive diplopia of 15 days duration.Examination revealed paresis of right abducens nerve.Though risk factor like Hypertension was present, patient was ordered MRI which showed Clivus and vertebral metastatic foci highly suggestive of metastasis from breast carcinoma.The patient was referred for radiation therapy.Hence, meticulous neuroophthalmic examination and management is necessary to rule out localised metastasis causing isolated abducens nerve palsy.