Presentation
Left third, seventh and eighth cranial nerve palsies.
Patient Data
Age: 70 years
Gender: Female
From the case:
Multiple cranial nerve thickening and enhancement
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Thickening and enhancement of the left 7th, 8th nerves and both 9th nerves.
Small artery disease with bilateral chronic ischemic changes.
Brain atrophic changes.
From the case:
Multiple cranial nerve thickening and enhancement
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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:
infection: e.g. tuberculosis, Lyme disease
demyelination: multiple sclerosis (MS)
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neoplastic:
-
primary
-
secondary
infiltration by lymphoma / leukemia / multiple myeloma
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Co-author:
Assistant Prof. Ayda Yosif. National Cancer Institute. Cairo.Egypt.
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