Akut Bilateral Oftalmopleji ile Başvuran Mantle Hücreli Lenfoma
Journal Title: TÜRK OFTALMOLOJİ DERGİSİ - Year 2017, Vol 47, Issue 4
Abstract
Yetmiş iki yaşındaki kadın hasta akut gelişen çift görme, bilateral blefaroptozis ve tama yakın oftalmopleji ile başvurdu. Orbital ve beyin manyetik rezonans görüntüleme bulguları normaldi. Sonraki araştırmalar hastanın bisitopeni ve hepatosplenomegalisi olduğunu gösterdi. Karaciğer biyopsisi ile mantle hücreli lenfoma olduğu saptandı. Serebrosipinal sıvı analizinde mantle hücrelerin varlığı sitoloji ile gösterildi. Hastanın oftalmoplejisi birinci kür sistemik ve intratekal kemoterapi sonrası düzeldi. Bildiğimiz kadarıyla olgumuz literatürde oftalmopleji ile başvuran santral sinir sistemi tutulumu olan ikinci mantle hücreli lenfoma olgusudur. Bu bulgu mantle hücreli lenfomanın başlangıç bulguları arasında göz önünde bulundurulmalıdır.
Authors and Affiliations
Yaran Koban, Hatice Özlece, Orhan Ayar, Mustafa Koç, Hüseyin Çelik, Zeliha Yazar, Ayşe Burcu
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