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Research Article Open access CC BY 4.0

Lymphoma with Bilateral Contrast Enhancement and Restricted Diffusion of Multiple Cranial Nerves in MRI

Sharifov Rasul, Koçer Abdulkadir, Altıntaş Özge, Alkan Alpay

International Neuropsychiatric Disease Journal · pp. 69–73 · Published 7 Jan 2015

10.9734/INDJ/2015/15303

Abstract

We present a 50-year-old female with paresthesia on the right side of her face, facial asymmetry, hearing loss, and difficulty in walking. After clinical and radiological evaluations, non-Hodgkin lymphoma type B has been diagnosed. Cranial MRI revealed contrast enhancement of 3rd, 5th, 7th, and 8th cranial nerves bilaterally. Diffusion-weighted imaging (DWI) revealed prominent hyperintense symmetric cranial nerves involvement with corresponding signal reduction on Apparent Diffusion Coefficient (ADC) maps. In lymphoma cases, any of the 12 cranial nerves may be affected.  Although such clinical phenomena have been described previously, this is the first patient to demonstrate restricted diffusion related to multiple cranial nerves.  

lymphoma cranial nerves diffusion / DWI magnetic resonance imaging / MRI

References (8)

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  3. 3 MRI Restricted Diffusion in Lymphomatous Optic Neuropathy [DOI]
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