Amaurosis fugax as initial symptom of metastatic clear cell renal carcinoma

Abstract

Background: In this case we describe the rare presentation of orbital metastasis of a clear cell renal carcinoma. Case Report: We present a case of a 57-year-old male with suddenly lost the vision in his left eye and homolateral abducens palsy. The magnetic resonance imaging of the skull revealed a left intraorbital tumor with center-lateral displacement measuring 21.8 x 19.6 mm, compressing the optic nerve and the homolateral lateral rectus muscle. The patient underwent surgical removal of the lesion. The histologic diagnosis indicated clear cell renal carcinoma metastasis confirmed by the abdominal computed tomography (CT), which showed a neoplasia in the upper third of the left kidney measuring 3.5 x 3.4 cm with heterogeneous reinforcement after intravenous contrast administration. Conclusion: This case described the rare presentation of a clear cell renal carcinoma metastasis in orbit. The initial presentation of patient was amarosis fugax and homolateral abducens palsy. Orbital metastasis of clear cell renal carcinoma are rare, however, the histologic exam conclude the diagnosis.