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Lymphomatous meningitis of the Burkitt type presenting with multiple cranial neuropathies
Michael A Grassi1, Andrew G Lee
1Department of Ophthalmology, the University of Iowa Hospitals and Clinics, Iowa City, Iowa 52246, USA.
American Journal of Ophthalmology
|February 28, 2002
Abstract
Purpose:
To describe diplopia as the initial manifestation of the Burkitt lymphoma.
Design:
Observational case report.
Methods:
Retrospective chart review.
Results:
A 53-year-old human immunodeficiency virus (HIV)-positive man presented with a severe headache associated with binocular diplopia. Flow cytometric analysis of the cerebrospinal fluid demonstrated a monoclonal B-lymphoid cell population consistent with the Burkitt lymphoma.
Conclusion:
Ophthalmologists should be aware that diplopia may be the presenting manifestation of Burkitt lymphoma in an immunocompromised patient.