Lymphoma Presenting as Acute-Onset Dysphagia
| Autor: | Andrew Bursaw, Daniel B. Simmons |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Pathology
medicine.medical_specialty Palsy medicine.diagnostic_test business.industry Cranial nerves Case Report medicine.disease Dysphagia lcsh:RC346-429 Lymphoma Cranial neuropathies Acute onset Biopsy medicine otorhinolaryngologic diseases Vocal cord paralysis medicine.symptom General Agricultural and Biological Sciences business lcsh:Neurology. Diseases of the nervous system |
| Zdroj: | Case Reports in Neurological Medicine Case Reports in Neurological Medicine, Vol 2015 (2015) |
| ISSN: | 2090-6676 2090-6668 |
| Popis: | A 61-year-old man with recent Bell’s palsy developed acute vocal cord paralysis causing severe dysphagia. CSF analysis showed elevated protein and a normal cell count; contrast-enhanced MRI of the brain was normal. He was treated with IVIG for a presumed bulbar-variant AIDP and gradually improved. Six months later, the patient developed rapidly progressive hearing loss and vestibular dysfunction. Repeat MRI revealed bilateral enhancement of the eighth cranial nerves and a hypercellular mass in the left temporal lobe. Biopsy of the mass confirmed the diagnosis of diffuse large B-cell lymphoma. Lymphomatous invasion of the cranial nerves should be considered in cases of relapsing cranial neuropathies. |
| Databáze: | OpenAIRE |
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