Bilateral secondary neurolymphomatosis of the internal auditory canal nerves: a case report.
Title | Bilateral secondary neurolymphomatosis of the internal auditory canal nerves: a case report. |
Publication Type | Journal Article |
Year of Publication | 2013 |
Authors | Blioskas, S., Tsaligopoulos M., Kyriafinis G., Psillas G., Markou K., Perifanis V., Kouskouras K., & Vital V. |
Journal | Am J Otolaryngol |
Volume | 34 |
Issue | 5 |
Pagination | 556-8 |
Date Published | 2013 Sep-Oct |
ISSN | 1532-818X |
Keywords | Animals, Cochlear Nerve, Combined Modality Therapy, Diagnosis, Differential, Ear, Inner, Hearing Loss, Sensorineural, Humans, Magnetic Resonance Imaging, Male, Marek Disease, Middle Aged |
Abstract | BACKGROUND: Neurolymphomatosis describes the malignant lymphomatous infiltration of nerves.METHODS: We encountered a unique case of a 47-year-old patient with non-Hodgkin's lymphoma presenting with bilateral sensorineural hearing loss, vestibular dysfunction and bilateral facial nerve palsy.RESULTS: Magnetic resonance imaging demonstrated enhancement and thickening of internal auditory canal nerves bilaterally consistent with neurolymphomatosis. Patient was treated with combined intrathecal chemotherapy and total brain irradiation.CONCLUSIONS: One must always remain vigilant for metastatic disease in patients with sensorineural hearing loss and/or vestibular dysfunction and facial nerve palsy in the context of known malignancy. |
DOI | 10.1016/j.amjoto.2013.04.002 |
Alternate Journal | Am J Otolaryngol |
PubMed ID | 23993712 |