Al-Mujaini Abdullah S, Al-Dhuhli Humoud H, Dennison David J
Department of Ophthalmology, Sultan Qaboos University Hospital, Al-Khod, Muscat, Saltanate of Oman.
Saudi Med J. 2009 Jul;30(7):961-3.
The reported incidence of central nervous system (CNS) involvement by acute myeloid leukemia (AML) ranges widely from less than 10-30%. Acute unilateral third nerve palsy is an unusual first manifestation of such an event. We describe a rare ophthalmologic manifestation of CNS relapse in a 25-year-old patient with AML who had undergone allogeneic stem cell transplant, and demonstrate the value of MRI in the early diagnosis.
据报道,急性髓系白血病(AML)累及中枢神经系统(CNS)的发生率差异很大,从不到10%至30%不等。急性单侧动眼神经麻痹是此类事件罕见的首发表现。我们描述了一名25岁接受异基因干细胞移植的AML患者CNS复发的罕见眼科表现,并证明了MRI在早期诊断中的价值。