Audiovestibular symptoms in a case of primary intraocular lymphoma with brainstem metastasis - A case report
Journal
Tzu Chi Medical Journal
Journal Volume
14
Journal Issue
2
Pages
109-112
Date Issued
2002
Author(s)
Abstract
Primary intraocular lymphoma, a rare disease, is frequently associated with central nervous system involvement, but it rarely presents with inner ear symptoms. This paper reports a 70-year-old woman with primary intraocular lymphoma who experienced persistent vertigo, bilateral hearing loss, left hemiparesis and direction-changing positional nystagmus three months after irradiation. An MRI scan depicted a space-occupying lesion in the left middle cerebellar peduncle and cytologic study of the cerebrospinal fluid disclosed lymphoma cells. Therefore, when a lymphoma patient experiences persistent vertigo, hearing loss, and central type nystagmus, an MRI and cerebrospinal fluid cytologic examinations should be performed to exclude the possibility of CNS involvement.
Subjects
Apogeotrophic type of direction-changing positional nystagmus; Central nervous system lymphoma; Primary intraocular lymphoma; Vertigo
SDGs
Other Subjects
carmustine; cytarabine; dexamethasone; etoposide; methotrexate; methylprednisolone; vincristine; aged; article; brain stem tumor; case report; central nervous system tumor; cerebrospinal fluid cytology; female; hearing loss; human; lymphoma; metastasis; nuclear magnetic resonance imaging; nystagmus; symptomatology; tumor localization; vertigo
Type
journal article