Carcinomatosis Meningitis Presenting as Third Nerve Palsy

Carcinomatosis meningitis is associated with 5-8% of patients with malignancy. The diagnosis is usually suspected in patients with known malignancy and based on clinical symptoms as well as supportive cerebrospinal fluid studies. We present a case of carcinomatous meningitis where no suspicion of malignancy was evident and where the clinical course and laboratory investigations were atypical for the diagnosis. J Med Cases. 2015;6(7):287-289 doi: http://dx.doi.org/10.14740/jmc2149w