Abstract

Metastatic breast cancer commonly involves the bone, liver, and lungs. While bone marrow metastasis (BMM) is rare, it has a significant association with distant recurrence and diminished survival rates. Typically, BMM manifests with hematological abnormalities and none of the previous reports revealed BMM as a first presentation in breast cancer patients. Herein is a reported case of painless, multiple cranial neuropathies as an unusual initial manifestation of symptomatic BMM, marking the first presentation of metastatic breast cancer.

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