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Spontaneous Remission of a Third-Nerve Palsy in Meningeal Lymphoma
Ann Neurol 32:100-102, Galetta,S.L.,et al, 1992
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Article Abstract
We report on a patient with spontaneous remission of a third-nerve palsy who was subsequently found to have meningeal lymphoma.Initial magnetic resonance images(MRI)showed bilateral enhancement of the third nerves. Follow-up MRI 7 months later,without treatment,showed complete resolution. One year after initial presentation,the patient developed multiple lumbosacral radiculopathies and examination of a nerve root biopsy specimen disclosed a B-cell lymphoma.Serial cerebrospinal fluid analyses over the previous year showed occasional atypical cells,later found to resemble closely the biopsy cell type.We conclude that meningeal lymphoma may have a protracted course,with spontaneous remission of both clinical and neuroimaging findings.
 
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cranial nerve enhancement
cranial nerve palsies
cranial nerve tumor
cranial nerves
gadolinium
lumbosacral radiculopathy
lymphoma
lymphoma involving CNS
lymphoma,meningeal
MRI
MRI,abnormal
MRI,contrast enhanced
MRI,cranial nerves
MRI,disappearing lesion on
third nerve
third nerve palsy

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