Skull Base 2007; 17(6): 409-412
DOI: 10.1055/s-2007-991114
CASE REPORT

© Thieme Medical Publishers

Primary Central Nervous System Lymphoma Presenting as Bilateral Tumors of the Internal Auditory Canal

Minoo Lenarz1 , Martin Durisin1 , Hartmut Becker2 , Thomas Lenarz1 , Mohamad Nejadkazem1
  • 1Department of Otolaryngology, Medical University of Hanover, Germany
  • 2Department of Neuroradiology, Medical University of Hanover, Germany
Further Information

Publication History

Publication Date:
18 October 2007 (online)

ABSTRACT

The increasing incidence of central nervous system (CNS) lymphoma in the general population, especially in young adults with AIDS, should alert the otolaryngologist that in future there will be an even greater incidence of this rare disease. It may be responsible for hearing loss accompanied by other neurological deficits. CNS lymphoma often has a rapidly progressive course. Early diagnosis and rapid therapy are crucial for a better prognosis. We report a case of primary CNS lymphoma involving both internal auditory canals that presented with sudden deafness and disequilibrium accompanied by facial and abducens nerve palsy.

REFERENCES

  • 1 Angeli S I, Brackmann D E, Xenellis J E et al.. Primary lymphoma of the internal auditory canal: case report and review of the literature.  Ann Otol Rhinol Laryngol. 1998;  107 17-21
  • 2 Gumerlock M K, Neuwelt E A. Primary cerebral lymphoma. In: Dana BW Malignant Lymphomas, Including Hodgkin's Disease: Diagnosis, Management, and Special Problems. Boston; Kulwer Academic Publishers 1993: 111-126
  • 3 Hochberg F H, Miller D C. Primary central nervous system lymphoma.  J Neurosurg. 1988;  68 835-853
  • 4 Tomlinson F H, Kurtin P J, Suman V J et al.. Primary intracerebral malignant lymphoma: a clinicopathological study of 89 patients.  J Neurosurg. 1995;  82 558-566
  • 5 Jaiswal A K, Mahapatra A K, Sharma M C. Primary central nervous lymphoma presenting as bilateral cerebellopontine angle lesions: a rare case report.  J Clin Neurosci. 2004;  11 328-331
  • 6 Garth R J, Coddington R, Brightwell A P. Primary cerebral lymphoma presenting with bilateral cerebellopontine angle lesions.  J Laryngol Otol. 1993;  107 937-939
  • 7 Larner A J, D'Arrigo C, Scaravilli F et al.. Bilateral symmetrical enhancing brainstem lesions: an unusual presentation of primary CNS lymphoma.  Eur J Neurol. 1999;  6 721-723
  • 8 Schmitt-Graff A, Pfitzer P. Cytology of cerebrospinal fluid in primary malignant lymphomas of the central nervous system.  Acta Cytol. 1983;  27 267-272

Minoo LenarzM.D. 

Department of Otolaryngology, Medical University of Hanover

Carl Neuberg St. 1, 30625 Hanover, Germany

Email: Lenarz.Minoo@MH-Hannover.de

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