Painful ophthalmoplegia in a patient with a history of marginal zone lymphoma

被引：0

作者：

Van Bogaert, C. ^{[1
]}

Mathey, C. ^{[1
]}

Vierasu, I ^{[1
]}

Trotta, N. ^{[1
]}

Rocq, L. ^{[2
]}

Wolfromm, A. ^{[3
]}

De Wilde, V ^{[3
]}

Goldman, S. ^{[1
]}

机构：

[1] CUB Hop Erasme, Dept Nucl Med, Anderlecht, Belgium

[2] CUB Hop Erasme, Dept Anatomopatholgy, Anderlecht, Belgium

[3] CUB Hop Erasme, Dept Haematol, Anderlecht, Belgium

来源：

EUROPEAN JOURNAL OF HYBRID IMAGING | 2021年 / 5卷 / 01期

关键词：

Painful ophthalmoplegia; Lymphoma; Tolosa Hunt syndrome; IGG4-RELATED DISEASE; ASSOCIATION;

D O I：

10.1186/s41824-021-00113-2

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

A 73-year-old man with a history of marginal zone lymphoma was admitted to the emergency room for diplopia and ipsilateral headache. The Fluorine-18-fluorodeoxyglucose positron emission tomography/computed tomography (F-18-FDG PET/CT) demonstrated intense and symmetrical hypermetabolism of the cavernous sinuses, and hypermetabolic lesions diffusely in the lymph nodes and bones. The diagnosis of high-grade relapse of lymphomatous disease was made. In this context, the homogenous and symmetric lesion of the cavernous sinuses, without any other encephalic or meningeal lesions, raised the hypothesis of a paraneoplastic origin. A plausible paraneoplastic link between the neuro-ophthalmological lesion and the malignant disorder is IgG4-related disease, a condition that may be associated with lymphoma. As in our case, this diagnosis is often presumptive because histopathological confirmation is difficult to obtain.

引用

页数：7

共 11 条

[1] Lymphomas in IgG4-related disease: clinicopathologic features in a Western population [J].