{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T11:42:54Z","timestamp":1743507774872},"reference-count":19,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Neurological Medicine"],"published-print":{"date-parts":[[2016]]},"abstract":"<jats:p>Renal cell carcinoma (RCC) has unusual presentation affecting elderly males with a smoking history. The incidence of RCC varies while the incidence of spread of RCC to the clivus is rare. The typicality of RCC presentation includes hematuria, flank pain, and a palpable flank mass; however, RCC can also present with clival metastasis. The unique path of the abducens nerve in the clivus makes it susceptible to damage in metastasis. We report a case of a 54-year-old African American female that was evaluated for back pain, weakness, numbness, and tingling of bilateral lower extremities and subsequently disconjugate gaze and diplopia. Brain MRI confirmed metastasis to the clivus. She was started on radiotherapy and was planned for chemotherapy and transfer to a nursing home. When a patient presents with sudden unusual cranial nerve pathology, the possibility of metastatic RCC should be sought.<\/jats:p>","DOI":"10.1155\/2016\/9184501","type":"journal-article","created":{"date-parts":[[2016,3,15]],"date-time":"2016-03-15T21:03:21Z","timestamp":1458075801000},"page":"1-4","source":"Crossref","is-referenced-by-count":4,"title":["Unusual Spread of Renal Cell Carcinoma to the Clivus with Cranial Nerve Deficit"],"prefix":"10.1155","volume":"2016","author":[{"given":"Jerome","family":"Okudo","sequence":"first","affiliation":[{"name":"School of Public Health, University of Texas, 1200 Pressler Street, Houston, TX 77030, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nwabundo","family":"Anusim","sequence":"additional","affiliation":[{"name":"Department of Medicine, Saint Joseph Regional Medical Center, 5215 Holy Cross Parkway, Mishawaka, IN 46545, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"98","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0033-1348027"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1007\/s00701-009-0229-1"},{"issue":"5","key":"5","first-page":"319","volume":"44","year":"1998","journal-title":"Hinyokika Kiyo"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.3109\/02688697.2014.987217"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1227\/00006123-198012000-00017"},{"issue":"1","key":"11","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1016\/j.jocn.2003.12.015","volume":"12","year":"2005","journal-title":"Journal of Clinical Neuroscience"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.1157\/13091453"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1016\/j.optm.2006.08.015"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1080\/00016480701687283"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1007\/s00701-010-0630-9"},{"issue":"11","key":"20","doi-asserted-by":"crossref","first-page":"507","DOI":"10.47102\/annals-acadmedsg.V40N11p507","volume":"40","year":"2011","journal-title":"Annals of the Academy of Medicine, Singapore"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.2176\/nmc.52.751"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.3171\/2011.11.peds11260"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.4103\/0028-3886.128343"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.4103\/0301-4738.158096"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.4103\/0973-1482.138192"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.3340\/jkns.2015.57.3.208"},{"issue":"9","key":"6","first-page":"829","volume":"24","year":"1996","journal-title":"Neurological Surgery"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1055\/s-0035-1566125"}],"container-title":["Case Reports in Neurological Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/crinm\/2016\/9184501.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crinm\/2016\/9184501.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crinm\/2016\/9184501.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,17]],"date-time":"2023-08-17T06:55:43Z","timestamp":1692255343000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/crinm\/2016\/9184501\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016]]},"references-count":19,"alternative-id":["9184501","9184501"],"URL":"https:\/\/doi.org\/10.1155\/2016\/9184501","relation":{},"ISSN":["2090-6668","2090-6676"],"issn-type":[{"value":"2090-6668","type":"print"},{"value":"2090-6676","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016]]}}}