Table 6.
Paraneoplastic involvement of cranial nerves.
CN | Neoplastic | Paraneoplastic syndromes | Other mechanisms |
---|---|---|---|
II | Base of the skull | Optic nerve neuropathy/neuritis | Other immune-mediated causes, hyper-viscosity |
Leptomeningeal carcinomatosis | CAR, MAR | ||
III, IV, VI | Base of the skull tumors/metastasis | Individual cases | / |
Orbital metastasis | |||
Leptomeningeal carcinomatosis | |||
V | Local metastasis, base of the skull metastasis, mandibular metastasis | Numbness trigeminal nerve, or parts (chin, cheek) | Isolated facial pain, neuralgia |
VIII | Leptomeningeal carcinomatosis | Few reports on vestibular neuritis | / |
Caudal CNs | Base of the skull metastases | Not reported (isolated nerves) | Focal amyloid in plasma cell dyscrasia |
Leptomeningeal carcinomatosis | |||
Lesions after the exit of CN of the bony skull | |||
Multiple CNs | Base of the skull metastasis | Few reports, not homogeneous | / |
Leptomeningeal carcinomatosis |
CAR, cancer associated retinopathy; MAR, melanoma associated neuropathy.