Lymphoma Presenting as Acute-Onset Dysphagia
A 61-year-old man with recent Bell’s palsy developed acute vocal cord paralysis causing severe dysphagia. CSF analysis showed elevated protein and a normal cell count; contrast-enhanced MRI of the brain was normal. He was treated with IVIG for a presumed bulbar-variant AIDP and gradually improved. S...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Neurological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2015/745121 |
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| _version_ | 1832556925085024256 |
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| author | Daniel B. Simmons Andrew W. Bursaw |
| author_facet | Daniel B. Simmons Andrew W. Bursaw |
| author_sort | Daniel B. Simmons |
| collection | DOAJ |
| description | A 61-year-old man with recent Bell’s palsy developed acute vocal cord paralysis causing severe dysphagia. CSF analysis showed elevated protein and a normal cell count; contrast-enhanced MRI of the brain was normal. He was treated with IVIG for a presumed bulbar-variant AIDP and gradually improved. Six months later, the patient developed rapidly progressive hearing loss and vestibular dysfunction. Repeat MRI revealed bilateral enhancement of the eighth cranial nerves and a hypercellular mass in the left temporal lobe. Biopsy of the mass confirmed the diagnosis of diffuse large B-cell lymphoma. Lymphomatous invasion of the cranial nerves should be considered in cases of relapsing cranial neuropathies. |
| format | Article |
| id | doaj-art-ecdde922ac134a8fa93c5c3a5cc0c9a5 |
| institution | Kabale University |
| issn | 2090-6668 2090-6676 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Neurological Medicine |
| spelling | doaj-art-ecdde922ac134a8fa93c5c3a5cc0c9a52025-02-03T05:44:06ZengWileyCase Reports in Neurological Medicine2090-66682090-66762015-01-01201510.1155/2015/745121745121Lymphoma Presenting as Acute-Onset DysphagiaDaniel B. Simmons0Andrew W. Bursaw1San Antonio Military Medical Center, Department of Neurology, 3551 Roger Brooke Drive, Fort Sam Houston, TX 78234, USASan Antonio Military Medical Center, Department of Neurology, 3551 Roger Brooke Drive, Fort Sam Houston, TX 78234, USAA 61-year-old man with recent Bell’s palsy developed acute vocal cord paralysis causing severe dysphagia. CSF analysis showed elevated protein and a normal cell count; contrast-enhanced MRI of the brain was normal. He was treated with IVIG for a presumed bulbar-variant AIDP and gradually improved. Six months later, the patient developed rapidly progressive hearing loss and vestibular dysfunction. Repeat MRI revealed bilateral enhancement of the eighth cranial nerves and a hypercellular mass in the left temporal lobe. Biopsy of the mass confirmed the diagnosis of diffuse large B-cell lymphoma. Lymphomatous invasion of the cranial nerves should be considered in cases of relapsing cranial neuropathies.http://dx.doi.org/10.1155/2015/745121 |
| spellingShingle | Daniel B. Simmons Andrew W. Bursaw Lymphoma Presenting as Acute-Onset Dysphagia Case Reports in Neurological Medicine |
| title | Lymphoma Presenting as Acute-Onset Dysphagia |
| title_full | Lymphoma Presenting as Acute-Onset Dysphagia |
| title_fullStr | Lymphoma Presenting as Acute-Onset Dysphagia |
| title_full_unstemmed | Lymphoma Presenting as Acute-Onset Dysphagia |
| title_short | Lymphoma Presenting as Acute-Onset Dysphagia |
| title_sort | lymphoma presenting as acute onset dysphagia |
| url | http://dx.doi.org/10.1155/2015/745121 |
| work_keys_str_mv | AT danielbsimmons lymphomapresentingasacuteonsetdysphagia AT andrewwbursaw lymphomapresentingasacuteonsetdysphagia |