Abstract
A 65-year-old man presented with an isolated lateral rectus palsy. Neuroradiological studies were negative initially. The abduction deficit subsequently became bilateral and reinvestigation showed a mass centred on the pituitary fossa. Trans-sphenoidal biopsy revealed a plasmacytoma. This presentation of plasmacytoma has not previously been reported. The case also emphasizes the importance of re-investigation of a persistent abduction deficit.
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