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. 2021 Oct 1;12:706169. doi: 10.3389/fneur.2021.706169

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.