Acta Neurol Belg (2017) 117:743–744 DOI 10.1007/s13760-017-0759-x NEURO-IMAGES Josef G. Heckmann Received: 18 January 2017 / Accepted: 4 February 2017 / Published online: 21 February 2017 Belgian Neurological Society 2017 Keywords Oculomotor nerve palsy Third nerve palsy Isolated oculomotor nerve palsy is not infrequent and Diplopia Meningeosis lymphomatosa Diffuse large cell needs a broad differential diagnostic approach . Such B-lymphoma palsy due to lymphoma, however, is quite rare and since the ﬁrst description of it in 1979 only a few reports had A 71-year-old man presented with diplopia and periorbital been published [2–5]. Beside lymphomatous inﬁltration, space-occupying effects and paraneoplastic mechanisms pain. The clinical examination showed left-sided incom- plete external oculomotor nerve palsy. The remainder of are discussed [3, 5]. Our case is interesting for two reasons. First, gadolinium-enhanced MRI showed no abnormality the neurological and ophthalmological examination was unremarkable except for slight polyneuropathy. He was on and no enhancement. In the hitherto reported cases on oculomotor nerve palsy in association with histologically medication treating diabetes and arterial hypertension. Two months earlier a diffuse large cell B-lymphoma was diag- proven diffuse large cell B-lymphoma typically an enhancement and enlargement of the oculomotor nerve or nosed
Acta Neurologica Belgica – Springer Journals
Published: Feb 21, 2017
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