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벨 마비로 오인된 신경림프종증

Neurolymphomatosis Mimicking Bell’s Palsy

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초록

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.

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.

참고문헌 (7)

  1. Kelly JJ, "Lymphoma and peripheral neuropathy: a clinical review", Muscle Nerve, 31, pp.301~313 (2005)
  2. Baehring JM, "Neurolymphomatosis", Neuro Oncol, 5, pp.104~115 (2003)
  3. 이동현, "완전관해 후 다발성 단신경병으로 재발한 신경림프종증 1예", 대한신경과학회지, 24(6), pp.601~604 (2006), 대한신경과학회
  4. 장영희, "비강형 CD56+ NK", T 세포 림프종에서 기원한 신경림프종증 1예, 2004, pp.22(5), 532~534[DOI]
  5. Kinoshita T, "Facial nerve palsy: Evaluation by contrast-enhanced MR imaging", Clin Radiol, 56, pp.926~932 (2001)
  6. Trojan A, "Fusion PET-CT imaging of neurolymphomatosis", Ann Oncol, 13, pp.802~805 (2002)
  7. Gan HK, "Neurolymphomatosis: diagnosis, management, and outcomes in patients treated with rituximab", Neuro Oncol, 12, pp.212~215 (2010)

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