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Ophthalmoplegia as an unusual initial symptom of non-Hodgkins' lymphoma in the head and neck

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Abstract

Non-Hodgkins' lymphomas are relatively common tumors in the head and neck and should always be considered in the differential diagnosis of any mass lesion in this region, especially in cases with single enlarged lymphnodes of unknown origin and symptoms that can only be explained by metastasis. The diagnosis is usually established by multidisciplinary collaboration. We report our experience in managing a 48-year-old man who was found to have a non-Hodgkins' lymphoma in his neck that was complicated by a metastasis to his brain causing incomplete ophthalmoplegia, a rare primary complication. The differential diagnosis and the examinations leading to the diagnosis are discussed.

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References

  1. Ahmadi J, North CM, Segall HD, Fee CS, Weiss MH (1986) Cavernousous sinus invasion by piturity edemas. AJR Am J Roentgenol 146:257–262

    PubMed  CAS  Google Scholar 

  2. Barat JL, Marchal JC, Paquis P, Angue J, Rache JL, Lepaire J (1990) Kyste épidermoide intracavemous extradural: à propos de deux observations. Neurochirurgie 36:242–245

    PubMed  CAS  Google Scholar 

  3. Cioffi FA, Bernini FP, Punzo A, Natale M, Muras I (1987) Cavernous sinus meningeomas. Neurochirurgia (Stuttg) 30: 40–47

    CAS  Google Scholar 

  4. Delpassand ES, Kirkpatrick JB (1988) Cavernous sinus syndrome as the presentation of malignant lymphoma: case report and review of the literature. Neurosurgery 23: 501–504

    PubMed  CAS  Google Scholar 

  5. Fukui K, Takeda S, Sadamoto K, et al (1985) A case of Burkitt's lymphoma with total ophthalmoplegia. Medline Abstract from No-Shinkei-Geka 13:1183–1189

    CAS  Google Scholar 

  6. Hansman ML, Haarer ED, Peyster RG (1986) Sixth nerve neurinoma in the cavernous sinus: CT features. J Comput Assist Tomogr 10: 1030–1032

    PubMed  CAS  Google Scholar 

  7. Inaki S, Okamura H, Chimameri Y (1988) Adult T-cell lymphoma. Riginating in the paranasal sinus. Arch Otolaryngol Head Neck Surg 114:1471–1473

    PubMed  CAS  Google Scholar 

  8. Ishida M, Ashida K, Matsunga T, Wasaka K, Sakurai M (1986) Chondrosarcoma of the ethmoidal and sphenoidal sinuses: a case of chondrosarcoma arising from postparanasal sinuses. ORL J Otolaryngol Relat Spec 48:174–179

    CAS  Google Scholar 

  9. Lennert K, Mohri N, Stein H, Kaiserling E, Müller-Hermelink HK (1978) Malignant lymphomas other than Hodgkins disease (Handbuch der speziellen pathologischen Anatomie and Histologie, vol 1, part 3B). Springer, Berlin Heidelberg New York, pp 3–15

    Google Scholar 

  10. Mickel RA, Zimmermann MC (1990) The sphenoid sinus — a site for metastasis. Otolaryngol Head Neck Surg 102:709–712

    PubMed  CAS  Google Scholar 

  11. O'Reilly SE, Connors JM (1992) Non-Hodgkins' lymphoma. I. Characterisation and treatment. BMJ 304:1682

    Article  PubMed  Google Scholar 

  12. Rosenberg SA, Diamond HD, Jaslowitz B, Caren LF (1961) Lymphosarcoma: a review of 1269 cases. Medicine 40: 31

    Article  PubMed  CAS  Google Scholar 

  13. Russ SA, Yumen OH (1994) Burkitt's lymphoma presenting as ophthalmoplegia in an elderly male (letter). Am J Hematol 45: 97–98

    PubMed  CAS  Google Scholar 

  14. Sissen G, Snyderman NL, Becker S (1989) Cancer of the nasal cavity and paranasal sinuses. In: Suen JY, Myers EN (eds) Cancer of the head and neck, 2nd edn. Churchill Livingston, New York, pp 311–336

    Google Scholar 

  15. Weber AL, Dareis KR, Ojemann RG, Negri M (1982) X-ray study of the mouth; intracavemous internal carotid artery aneurysm. Ann Otol Rhinol Laryngol 91: 543–545

    PubMed  CAS  Google Scholar 

Download references

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Authors and Affiliations

  1. Department of Otolaryngology-Head and Neck Surgery, University of Vienna Medical School, Währinger Gürtel 18-20, A-1090, Vienna, Austria

    A. F. P. Temmel & M. Kautzky

  2. Department of Radiology, University of Vienna Medical School, Währinger Gürtel 18-20, A-1090, Vienna, Austria

    C. Czerny

  3. Department of Pathology, University of Vienna Medical School, Währinger Gürtel 18-20, A-1090, Vienna, Austria

    M. Susani

Authors
  1. A. F. P. Temmel
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  2. C. Czerny
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  3. M. Susani
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  4. M. Kautzky
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Temmel, A.F.P., Czerny, C., Susani, M. et al. Ophthalmoplegia as an unusual initial symptom of non-Hodgkins' lymphoma in the head and neck. Eur Arch Otorhinolaryngol 254, 470–473 (1997). https://doi.org/10.1007/BF02439984

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  • DOI: https://doi.org/10.1007/BF02439984

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