Nischwitz A, Gerhardt H J, Paris S, Villringer A
Hals-Nasen-Ohren-Klinik, Universitätsklinikum Charité, Humboldt-Universität zu Berlin.
HNO. 1998 May;46(5):542-7. doi: 10.1007/s001060050267.
The clinical features of progression sensorineural hearing loss and vertigo in combination with the radiologic finding of a contrast-enhancing mass within the inner auditory canal are suggestive of an acoustic neuroma. We report our findings in a 57-year-old woman with known mixed connective tissue disease who was presumed to have a neuroma. A large malignant lymphoma of the cerebellopontine angle presented clinically with a primary acoustic none palsy and no other central neurological deficits. Both the primary radiological examinations and the exclusively peripheral nerve palsy failed to indicate manifestations of a lymphoma. The development of a progressive facial palsy within 8 weeks of presentation and an atypical occipital headache were uncommon findings for an acoustic neuroma. Such changes in symptoms despite the occurrence of cardinal symptoms require further diagnostic measures. Manifestations of a malignant lymphoma in the cerebellopontine angle are extremely rare. To our knowledge a case of an intracerebral lymphoma in a patient with Sjögren's syndrome has never been reported before.
