Department of Neurology, Gülhane Military Medical Academy, Ankara.
Acta Neurol Belg. 2011 Dec;111(4):362-4.
A 48-year-old man presented with left ptosis and double vision. Laboratory test findings indicated acute lymphoblastic leukemia (ALL). Lymphoblastic infiltration of both cavernous sinuses was observed on pituitary gland magnetic resonance imaging. Leukemias may present by many clinical conditions, but isolated cranial nerve palsy is very rare. To our knowledge, this is the first case of ALL presenting with oculomotor nerve palsy. Clinicians should consider oculomotor nerve palsy as the first ALL indication.
一位 48 岁男性因左眼下垂和复视就诊。实验室检查结果提示急性淋巴细胞白血病（ALL）。垂体磁共振成像显示双侧海绵窦淋巴细胞浸润。白血病可表现为多种临床症状，但孤立性颅神经麻痹非常罕见。据我们所知，这是首例以动眼神经麻痹为表现的 ALL。临床医生应将动眼神经麻痹作为 ALL 的首要指征。
