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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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