Case 131 – update 4

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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