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James R. Keane, MD; Barbara Zaias, MD; Hideo H. Itabashi, MD

Arch Neurol. 1984;41(2):210-212.

Abstract
• One month before death, a 63-year-old man with known lung carcinoma manifested a left third-nerve palsy and crossed ataxia. The oculomotor involvement began with a dilated left pupil and progressed to a complete left oculomotor nerve palsy, with the exception of nearly normal lid function. Pathologic examination revealed a solitary midbrain metastasis involving the left third-nerve nucleus and rootlets, with the exception of the caudal central oculomotor subnucleus and its outflow fibers.

Author Affiliations
From the Departments of Neurology (Dr Keane) and Pathology (Dr Zaias), Los Angeles County-University of Southern California Medical Center; and the Department of Pathology, Harbor-UCLA Medical Center (Dr Itabashi).

Footnotes
Accepted for publication April 26, 1983.

Reprint requests to Department of Neurology, Los Angeles County-University of Southern California Medical Center, Los Angeles, CA 90033 (Dr Keane).

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