A Case of Painful Ophthalmoplegia Associated with Pelvic Malignant Lymphoma.
- Author:
Ji Hoe HEO
1
;
Kee Duk PARK
;
Il Nam SUNWOO
Author Information
1. Department of Neurology, College of Medicine, Yonsei University.
- Publication Type:Case Report
- MeSH:
Blood Sedimentation;
Brain;
Drug Therapy;
Lymphoma*;
Meningitis;
Ophthalmoplegia*;
Radiotherapy;
Tolosa-Hunt Syndrome
- From:Journal of the Korean Neurological Association
1987;5(2):272-276
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Painful ophthalmoplegia is not common and may be due to variety of causes, of which distant metastsis of malignant lymphoma is rare. This is a case of painful ophthalmoplegia who has looked like Tolosa-Hunt syndrome at first showing normal CSF findings, increased erythrocyte sedimentation rate and some response to steroid. About 2 months later, however, pelvic malignant lymphoma (diffuse undifferentiated according to Rappaport classification) was found, followed by lymphomatous meningitis. The symptoms of pain and ophthalmoplegia were markedly improved after systemic and intrathecal chemotherapy and radiotherapy of whole brain for the metastatic malignant lymphoma.
