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Khaleefah MM, Narayanan S, Dallal HAA, Jones CM, Friedland RP, Palade AE, Remmel KS, Shah JJ. Isolated oculomotor nerve palsy as a manifestation of diffuse large B cell lymphoma: A case report. Oncol Lett 2020; 20:285. [PMID: 33014163 PMCID: PMC7520722 DOI: 10.3892/ol.2020.12147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2020] [Accepted: 08/07/2020] [Indexed: 11/26/2022] Open
Abstract
An isolated third nerve palsy presenting as the primary manifestation of a lymphoma is rare, with only few cases having been described. The present study reports an unusual case of a healthy 67-year old male diagnosed with isolated right oculomotor nerve palsy (ONP), who was found to have an underlying B cell lymphoma. The patient's medical records were accessed upon consent. A thorough physical examination, including stroke and infections work-ups were performed. A chest computerized tomography (CT), brain magnetic resonance imaging and positron emission tomography (PET) scans and a mediastinal tissue biopsy, were performed as part of systematic diagnostic evaluations. The current report suggests that a PET fluorodeoxyglucose study or a CT scan of the chest, abdomen and pelvis (with contrast) may help in the early diagnosis of a cancer responsible for ONP, particularly if brain vessel imaging does not show a posterior cerebral artery aneurysm as a cause for the defect.
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Affiliation(s)
- Muntadher M Khaleefah
- Department of Neurology, University of Louisville Hospital, University of Louisville, Louisville, KY 40202, USA
| | - Siddharth Narayanan
- Department of Surgery, University of Louisville Hospital, University of Louisville, Louisville, KY 40202, USA
| | - Hiba A Al Dallal
- Department of Pathology and Laboratory Medicine, University of Louisville Hospital, University of Louisville, Louisville, KY 40202, USA
| | - Christopher M Jones
- Department of Surgery, University of Louisville Hospital, University of Louisville, Louisville, KY 40202, USA
| | - Robert P Friedland
- Department of Neurology, University of Louisville Hospital, University of Louisville, Louisville, KY 40202, USA
| | - Adriana E Palade
- Department of Neurology, University of Louisville Hospital, University of Louisville, Louisville, KY 40202, USA
| | - Kerri S Remmel
- Department of Neurology, University of Louisville Hospital, University of Louisville, Louisville, KY 40202, USA
| | - Jignesh J Shah
- Department of Neurology, University of Louisville Hospital, University of Louisville, Louisville, KY 40202, USA
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