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孤立性动眼神经麻痹为首发表现的弥漫性淋巴母细胞淋巴瘤

Disseminated lymphoblastic lymphoma revealed by an isolated third cranial nerve palsy.

机构信息

Department of Internal Medicine, Hedi Chaker Hospital, Sfax, Tunisia.

Department of Ophthalmology, Habib Bourguiba Hospital, Sfax, Tunisia.

出版信息

Eur J Ophthalmol. 2021 Mar;31(2):NP131-NP135. doi: 10.1177/1120672119873275. Epub 2019 Sep 3.

Abstract

Dysfunction of the third cranial nerve can be provoked by a number of different conditions. An isolated cranial neuropathy as a first clinical sign of a non-Hodgkin lymphoma is very infrequent. We represent here an atypical case of lymphoblastic lymphoma revealed by an isolated third cranial nerve palsy. The patient was managed by alternating cycles of cyclophosphamide, vincristine, and prednisone. She made a full recovery with a complete resolution of the symptomatology.

摘要

第三对颅神经功能障碍可由多种不同的情况引起。非霍奇金淋巴瘤的首发临床症状为孤立性颅神经病非常罕见。我们在此报告一例以孤立性第三对颅神经麻痹为表现的淋巴母细胞淋巴瘤的不典型病例。该患者接受环磷酰胺、长春新碱和泼尼松交替周期治疗,症状完全缓解,完全康复。

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