Bilateral Pulsating Exophthalmos Due to Metastases from Carcinoma of Prostate

Abstract

Bilateral Pulsating Exophthalmos Due to Metastases from Carcinoma of ProstateThe orbit is a rare situation for blood-borne metastases.Only four cases of secondary deposits in the orbit from carcinoma of the prostate have been found in a search of the literature.There is not a single recorded example of pulsating exophthalmos due to metastases from this or any other primary site. CASE REPORTIn November, 1957, the patient, a man of 73, noticed one morning that he was seeing double.The two objects were one above the other when he looked up and side by side when he looked to the right.At about the same time he noticed a humming in both ears, which gradually increased until he said that he could hear a noise like marching feet, which appeared to come from the left side of his head.Shortly afterwards he began to get a deep aching pain in his right leg, left arm, and back, and noticed that his hearing was less good than formerly.He felt perfectly fit in him- self, was eating and sleeping well, and said that he felt like a man of 40.At this time he had no abnormal urinary symptoms at all, but apparently in 1955, following a partial gastrectomy for a peptic ulcer, he developed retention of urine, requiring suprapubic drainage for a short period.At that time his prostate was felt to be enlarged, but there was no evidence of malignancy.He had no recurrence of this trouble subsequently.