The case is discussed in MDT with a decision to proceed with R-CODOX-M/R-IVAC. Infectious diseases advise to continue ART.
After 4 cycles, he has a complete response and enters a period of surveillance.
6 months later, he presents to A+E with intractable headaches and double vision – the examining doctor identifies a left abducens nerve palsy.
What are you worried about here?
What investigations would you perform?
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