Multiple cranial nerve thickening and enhancement

Case contributed by Dr Dalia Ibrahim

Presentation

Left third, seventh and eighth cranial nerve palsies.

Patient Data

Age: 70 years
Gender: Female

Thickening and enhancement of the left 7th, 8th nerves and both 9th nerves.

Small artery disease with bilateral chronic ischemic changes.

Brain atrophic changes.

Thickening and enhancement of the left 7th, 8th nerves and both 9th nerves.

Case Discussion

The patient is known to have leukemia under treatment.

Multiple cranial nerve thickening and enhancement has a long list of differentials:

This case is courtesy of Dr. Aida Yosif, Assistant Lecturer of Radiodiagnosis, National Cancer Institute.

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