Case Report Lymphoma Presenting as Acute-Onset Dysphagia
نویسندگان
چکیده
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-enhancedMRI of the brain was normal. He was treated with IVIG for a presumed bulbar-variant AIDP and gradually improved. Sixmonths 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.
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