Neurolymphomatosis Mimicking Bell's Palsy

벨 마비로 오인된 신경림프종증

  • Park, Yong-Shik (Department of Neurology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Suh, Bum Chun (Department of Neurology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Kim, Yong Bum (Department of Neurology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Chung, Pil-Wook (Department of Neurology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Moon, Heui-Soo (Department of Neurology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Yoon, Won Tae (Department of Neurology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Kim, Bong-Je (Department of Neurology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Yoon, Byung-Suk (Department of Neurology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Jung, Yong-Gyun (Department of Neurology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Jeong, Ha-Neul (Department of Neurology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Kim, Kun-Hyun (Department of Neurology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine)
  • 박용식 (성균관대학교 의과대학 강북삼성병원 신경과) ;
  • 서범천 (성균관대학교 의과대학 강북삼성병원 신경과) ;
  • 김용범 (성균관대학교 의과대학 강북삼성병원 신경과) ;
  • 정필욱 (성균관대학교 의과대학 강북삼성병원 신경과) ;
  • 문희수 (성균관대학교 의과대학 강북삼성병원 신경과) ;
  • 윤원태 (성균관대학교 의과대학 강북삼성병원 신경과) ;
  • 김봉제 (성균관대학교 의과대학 강북삼성병원 신경과) ;
  • 윤병석 (성균관대학교 의과대학 강북삼성병원 신경과) ;
  • 정용균 (성균관대학교 의과대학 강북삼성병원 신경과) ;
  • 정하늘 (성균관대학교 의과대학 강북삼성병원 신경과) ;
  • 김근현 (성균관대학교 의과대학 강북삼성병원 신경과)
  • Received : 2012.03.05
  • Accepted : 2012.05.17
  • Published : 2012.06.30

Abstract

Neurolymphomatosis is a complication of lymphoma and initial presentation of cranial nerve involvement has been rarely reported. We describe a patient with neurolymphomatosis who presented as facial palsy mimicking steroid responsive Bell's palsy, a common and benign condition. This case shows that even minor neurologic deficit of lymphoma patient should not be absolutely regarded as a benign condition.

Keywords

References

  1. Kelly JJ, Karcher DS. Lymphoma and peripheral neuropathy: a clinical review. Muscle Nerve 2005;31:301-313.
  2. Baehring JM, Damek D, Martin EC, Betensky RA, Hochberg FH. Neurolymphomatosis. Neuro Oncol 2003;5:104-115.
  3. Lee DH, Suh BC, Won YS, Song DB, Kim JK, Sunwoo IN, et al. A case of neurolymphomatosis relapsed as mononeuropathy multiplex after hematologic remission. J Korean Neurol Assoc 2006;24:601-604.
  4. Chang YH, Hwang SY, Roh HJ, Ahn MY, Jin SY, Sunwoo IN. A case of neurolymphomatosis originated from nasal type CD56+ NK/T cell lymphoma. J Korean Neurol Assoc 2004;22: 532-534.
  5. Kinoshita T, Ishii K, Okitsu T, Okudera T, Ogawa T. Facial nerve palsy: Evaluation by contrast-enhanced MR imaging. Clin Radiol 2001;56:926-932.
  6. Trojan A, Jermann M, Taverna C, Hany TF. Fusion PET-CT imaging of neurolymphomatosis. Ann Oncol 2002;13:802-805.
  7. Gan HK, Azad A, Cher L, Mitchell PL. Neurolymphomatosis: diagnosis, management, and outcomes in patients treated with rituximab. Neuro Oncol 2010;12:212-215.