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Multiple myeloma was also diagnosed by bone marrow examination. After completion of chemotherapy and radiotherapy, the patient has been free of symptoms for 10 months. Although cranial neuropathies with any combination of oculomotor, abducens, trochlear, ophthalmic and maxillary nerves may indicate a cavernous sinus lesion, neuropathies exclusive to the abducens and maxillary nerves may raise the possibility of extracavernous sinus origin. Cranial imaging is crucial in diagnosing painful ophthalmoplegia with additional minimal cranial nerve signs.<\/jats:p>","DOI":"10.1136\/bcr.08.2008.0804","type":"journal-article","created":{"date-parts":[[2009,3,17]],"date-time":"2009-03-17T19:41:52Z","timestamp":1237318912000},"page":"bcr0820080804","source":"Crossref","is-referenced-by-count":6,"title":["Extramedullary plasmacytoma masquerading as Tolosa\u2013Hunt syndrome: a case report"],"prefix":"10.1136","volume":"2009","author":[{"given":"Shengwen","family":"Ko","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shang-Yi","family":"Huang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chih-Yang","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2009,3,17]]},"reference":[{"key":"2025042507374842000_2009.mar08_1.bcr0820080804.1","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(197811)42:5<2399::AID-CNCR2820420541>3.0.CO;2-P"},{"key":"2025042507374842000_2009.mar08_1.bcr0820080804.2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.22850"},{"key":"2025042507374842000_2009.mar08_1.bcr0820080804.3","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0142(19990601)85:11<2305::AID-CNCR2>3.0.CO;2-3"},{"key":"2025042507374842000_2009.mar08_1.bcr0820080804.4","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1097\/00041327-200312000-00006","article-title":"Solitary intracranial extra-osseous plasmacytoma presenting with ophthalmic signs","volume":"23","author":"Brannan","year":"2003","journal-title":"J Neuroophthalmol"},{"key":"2025042507374842000_2009.mar08_1.bcr0820080804.5","first-page":"771","article-title":"Isolated oculomotor palsy disclosing multiple myeloma","volume":"18","author":"Feletti","year":"1995","journal-title":"J Fr Ophtalmol"},{"key":"2025042507374842000_2009.mar08_1.bcr0820080804.6","first-page":"792","article-title":"Multiple myeloma with numb chin syndrome as the initial manifestation","volume":"35","author":"Shiroshita","year":"1994","journal-title":"Rinsho Ketsueki"},{"key":"2025042507374842000_2009.mar08_1.bcr0820080804.7","doi-asserted-by":"publisher","DOI":"10.2310\/7070.2001.20073"},{"key":"2025042507374842000_2009.mar08_1.bcr0820080804.8","doi-asserted-by":"crossref","first-page":"200","DOI":"10.3109\/00016489409128332","article-title":"A case of myeloma with facial palsy","volume":"511","author":"Funakubo","year":"1994","journal-title":"Acta Otolaryngol Suppl"},{"key":"2025042507374842000_2009.mar08_1.bcr0820080804.9","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2141.2004.04555.x"},{"key":"2025042507374842000_2009.mar08_1.bcr0820080804.10","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.1.4915.708"},{"key":"2025042507374842000_2009.mar08_1.bcr0820080804.11","doi-asserted-by":"publisher","DOI":"10.2169\/internalmedicine.38.988"},{"key":"2025042507374842000_2009.mar08_1.bcr0820080804.12","first-page":"458","article-title":"Intracranial plasmacytoma masquerading as Gradenigo\u2019s syndrome","volume":"82","author":"Boume","year":"1998","journal-title":"Br J Ophthalmol"},{"key":"2025042507374842000_2009.mar08_1.bcr0820080804.13","doi-asserted-by":"crossref","first-page":"1171","DOI":"10.1097\/00007611-197809000-00038","article-title":"Unusual cause of jugular foramen syndrome","volume":"71","author":"Morgan","year":"1978","journal-title":"South Med J"},{"key":"2025042507374842000_2009.mar08_1.bcr0820080804.14","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-2982.2004.00893.x"},{"key":"2025042507374842000_2009.mar08_1.bcr0820080804.15","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1016\/S0002-9394(14)74718-X","article-title":"Causes and prognosis in 4,728 cases of paralysis of the oculomotor, trochlear, and abducens cranial nerves","volume":"113","author":"Richards","year":"1992","journal-title":"Am J Ophthalmol"},{"key":"2025042507374842000_2009.mar08_1.bcr0820080804.16","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1200\/JCO.1983.1.4.255","article-title":"Comparison of extramedullary plasmacytomas with solitary and multiple plasma cell tumors of bone","volume":"1","author":"Knowling","year":"1983","journal-title":"J Clin Oncol"},{"key":"2025042507374842000_2009.mar08_1.bcr0820080804.17","unstructured":"Cushing HW . 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