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Bilateral cavernous sinus non-Hodgkin's lymphoma as the presenting sign of acquired immunodeficiency syndrome: case report

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Biblioteca Digital da Produção Intelectual da Universidade de São Paulo (BDPI/USP)
Keywords
  • Seio Cavernoso
  • Linfoma
  • Sistema Nervoso Central
  • Diplopia
  • Síndrome De Imunodeficiência Adquirida
  • Relatos De Casos
  • Cavernous Sinus
  • Lymphoma
  • Central Nervous System
  • Acquired Immunodeficiency Syndrome
  • Case Reports
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Abstract

Case report of bilateral cavernous sinus syndrome due to primary non-Hodgkin lymphoma of the central nervous system in a patient infected by the human immunodeficiency virus. A 51-year-old male patient infected by the human immunodeficiency virus but without antiretroviral treatment developed paralysis of the V and VI cranial nerves. Imaging studies were obtained to investigate an orbital apex and a cavernous sinus syndrome. A computerized tomography scan of the orbit was normal but a high-resolution magnetic resonance imaging demonstrated bilateral enlargement of the cavernous sinus. Although primary lymphoma of the central nervous system is a rare condition, it should be considered in the differential diagnosis in immunocompromised patients who develop ocular motility abnormalities and imaging signs suggestive of infiltrative cavernous sinus lesions.

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