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題 名 | Audiovestibular Symptoms in a Case of Primary Intraocular Lymphoma with Brainstem Metastasis--A Case Report=原發性眼內淋巴瘤併腦幹轉移病例之聽覺前庭症狀--病例報告 |
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作 者 | 王成平; 楊怡和; | 書刊名 | 慈濟醫學 |
卷 期 | 14:2 2002.04[民91.04] |
頁 次 | 頁109-112 |
分類號 | 416.749 |
關鍵詞 | 眩暈; 原發性眼內淋巴瘤; 中樞神經系統淋巴瘤; 向天型方向變換性頭位眼振; Vertigo; Primary intraocular lymphoma; Central nervous system lymphoma; Apogeotrophic type of direction-changing positional nystagmus; |
語 文 | 英文(English) |
中文摘要 | Primary intraocular lymphoma, a rare disease, is frequently associated with central nervous system involvement, but it rarely presents with inner ear symptoms. This paper reports a 70-year-old woman with primary intraocular lymphoma who experienced persistent vertigo, bilateral hearing loss, left hemiparesis, and direction-changing positional nystagmus three months after irradiation. An MRI scan depicted a space-occupying lesion in the left middle cerebellar peduncle and cytologic study of the cerebrospinal fluid disclosed lymphoma cells. Therefore, when a lymphoma patient experiences persistent vertigo, hearing loss, and central type nystagmus, and MRI and cerebrospinal fluid cytologic examinations should be performed to exclude the possibility of CNS involvement. |
英文摘要 | 原發性眼內淋巴瘤是一罕見疾病,常伴隨有中樞神經系統侵犯,但是罕見以眩暈為中樞神經系統侵犯之主要表徵。本文報告一名70歲患有原發性眼內淋巴瘤之女性患者,在接受射線治療3個月後,發生持續眩暈、兩耳聽力喪失、左側偏癱以及方向變換性頭位眼振。核磁共振檢查發現左側中小腦角有一病變。腦脊髓液的細胞學檢查發現淋巴癌細胞,證實中樞神經系統轉移。故當淋巴瘤病人出現持續眩暈、聽力喪失、以及中樞性眼振時,必須安排核磁共振以及腦脊髓液檢查排除中樞神經系統轉移的可能性。 |
本系統中英文摘要資訊取自各篇刊載內容。