A case of multiple myeloma with cranial nerve palsy

We report a case of multiple myeloma with right sixth cranial nerve palsy. A 50 years old male tailor by occupation presented with complaints of back pain for one and half years, headache for 2 months, swelling in the scalp for one month and double vision on the right side for three weeks. The patient was symptomatically treated by a general practitioner and referred with MRI scans. A 3 x 2cm bony swelling in the left parietal region was excised and HPE shows features of multiple myeloma. The radiology, bone marrow aspiration study, immunoelectrophoresis and blood parameters support the diagnosis of multiple myeloma. The patient was referred to haematooncologist and radiotherapist for further management.