Spontaneous remission and exacervation of painful ophthalmoplegia associated with malignant lymphoma

J Korean Neurol Assoc > Volume 15(4); 1997 > Article

Journal of the Korean Neurological Association 1997;15(4): 915-920.

악성 림프종환자에서 호전-재발의 임상경과를 보인 동통성 안근마비

이상무, 박선아, 허지회

연세대학교 의대 신경과

Spontaneous remission and exacervation of painful ophthalmoplegia associated with malignant lymphoma

Sang Moo Lee, M.D., Sun Ah Park, M.D., Ji Hoe H대, M.D.

Department of Neurology, Yonsei University College of Medicine

Abstract

Painful ophthalmoplegia is an unusual presentation of malignant lymphoma. Moreover, spontaneous remission and exacerbation of it has quite rarely been reported. We present a patient who showed spontaneous remission and exacerbation of the painful ophthalmoplegia. Brain MR imagings showed infiltrating, iso-intensity mass a, TlWl and T2WI, and strong enhancement with gadolinium on TIWI in parasellar area. Malignant lymphoma of diffuse large cell type was found in cervical lymph node biopsy.