Abstract
A 37-year-old woman with a history of lumbar spine tuberculosis at the age of 7, developed a compression myelopathy, for which a laminectomy was performed. Two and half months later, she complained of disturbance of lateral gaze of the right eye-ball and numbness of the right side of the face. Neurological examination revealed types of infranuclear lesion of the right trigeminal nerve, nuclear or infranuclear lesions of the right abducens and hypoglossal nerves. Homer's sign was observed at the right side. Motor, sensory, and reflex systems in both upper extremities were normal. Both lower extremities showed lower motor neuron lesion. On the other hand, chest films, cerebral angiograms, pneumoencephalograms (fractional) were all negative. Autopsy disclosed that primary lung adenocarcinomas metastasized to the posterior wall of the thoracic cavity, liver, retroperitoneum, lumbar spine and intracranial basal part. The metastatic basal tumor extended from the middle to the posterior cranial fossa. This case has been described in this report.
