Tehran University of Medical Sciences International Journal of Hematology-Oncology and Stem Cell Research 2008-2207 12 1 2018 01 05 8 13 EN Neda Pak Department of Radiology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran Fatemeh Shakki Katouli Department of Radiology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran Amir Reza Radmard Department of Radiology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran Mohammad Hassan Shaki Katuli Department of Cardiology, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran Mohamad Mehdi Rezwanifar Department of Cardiology, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran Negar Sepehri Boroujeni Department of Pathology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran 2017 01 07 2017 07 26 Neurologic symptoms are quite common in multiple myeloma, but direct invasion of central nervous system is extremely rare. Leptomeningeal multiple myeloma, as a rare neurological manifestation of multiple myeloma, presents with impairment of consciousness, cranial nerve palsies and convulsions. Here, we describe a 52-year- old male patient, known case of multiple myeloma, who presented with bilateral visual loss and difficulty in swallowing. https://ijhoscr.tums.ac.ir/index.php/ijhoscr/article/view/731 https://ijhoscr.tums.ac.ir/index.php/ijhoscr/article/download/731/592