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Multiple myeloma and abducens palsy Patient presented with persistent headache, diplopia.

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Our patient was a 70-year-old Caucasian male with a past medical history notable for hypertension, noninsulin-dependent diabetes, hypercholesterolemia and multiple myeloma previously treated with stem cell therapy. He presented with a two-day history of acute diplopia that was constant, binocular and exacerbated with right gaze. The patient also reported a new persistent right occipital headache. The patient denied ocular pain, ataxia or vertigo. Upon further questioning, the patient reported fatigue and a new persistent right occipital headache.

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