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A 52-year-old man, with metastatic melanoma deposits in the frontal lobes bilaterally (figure 1A), developed acute headache and impaired voluntary eye movements in all directions of gaze. On examination (supplementary online video), voluntary saccades were severely hypometric, and smooth pursuit was absent. However, ductions were full with vestibular …
Competing interests None.
Patient consent Obtained.
Ethics approval Ethics approval was provided by Single case reported, consent obtained.
Provenance and peer review Not commissioned; externally peer reviewed.