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Journal of the Korean Neurological Association 1987;5(2): 272-276.
골반내 악성 임파종에 동반된 동통성 안근마비 1예
허지회, 박기덕, 선우일남
연세대학교 신경과.
A Case of Painful Ophthalmoplegia Associated with Pelvic Malignant Lymphoma
Ji-Hoe, Heo, M.D., Kee-Duk Park, M.D., Il-Nam Sunwoo, M.D.
Department of Neurology, College of Medicine, Yonsei University
Painful ophthalmoplegia is not common and may be due to variety of causes, of which distant metastsis of malignant lymphoma is rare. This is a case of painful ophthalmoplegia who has looked like Tolosa-Hunt syndrome at first showing normal CSF findings, increased erythrocyte sedimentation rate and some response to steroid. About 2 months later, however, pelvic malignant lymphoma (diffuse undifferentiated according to Rappaport classification) was found, followed by lymphomatous meningitis. The symptoms of pain and ophthalmoplegia were markedly improved after systemic and intrathecal chemotherapy and radiotherapy of whole brain for the metastatic malignant lymphoma.