Barreira Junior Alan Kardec, Moura Frederico Castelo, Monteiro Mario Luiz Ribeiro
Departamento de Oftalmologia e Otorrinolaringologia, Faculdade de Medicina, Universidade de São Paulo, SP, Brasil.
Arq Bras Oftalmol. 2011 Mar-Apr;74(2):130-1. doi: 10.1590/s0004-27492011000200013.
Case report of bilateral cavernous sinus syndrome due to primary non-Hodgkin lymphoma of the central nervous system in a patient infected by the human immunodeficiency virus. A 51-year-old male patient infected by the human immunodeficiency virus but without antiretroviral treatment developed paralysis of the V and VI cranial nerves. Imaging studies were obtained to investigate an orbital apex and a cavernous sinus syndrome. A computerized tomography scan of the orbit was normal but a high-resolution magnetic resonance imaging demonstrated bilateral enlargement of the cavernous sinus. Although primary lymphoma of the central nervous system is a rare condition, it should be considered in the differential diagnosis in immunocompromised patients who develop ocular motility abnormalities and imaging signs suggestive of infiltrative cavernous sinus lesions.