Koban Y, Özlece H, Ayar O, Koç M, Çelik H, Yazar Z, Burcu A. Mantle Cell Lymphoma Presenting with Acute Bilateral Ophthalmoplegia.
Turk J Ophthalmol 2017;
47:235-237. [PMID:
28845330 PMCID:
PMC5563554 DOI:
10.4274/tjo.80557]
[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: 12/28/2015] [Accepted: 05/15/2016] [Indexed: 12/01/2022] Open
Abstract
A 72-year-old woman presented with acute onset of double vision, bilateral complete blepharoptosis, and nearly complete ophthalmoplegia. Orbital and brain magnetic resonance imaging were normal. Further investigation revealed bicytopenia with hepatosplenomegaly. Liver biopsy revealed mantle cell lymphoma. Cytology later showed the presence of mantle cells in cerebrospinal fluid analysis. Her ophthalmoplegia improved from her first cycle of systemic and intrathecal chemotherapy. To the best of our knowledge, this is the second case in the literature of mantle cell lymphoma with central nervous system involvement presenting with ophthalmoplegia. This symptom should be considered one of the initial signs of mantle cell lymphoma.
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