Related Experiment Video
Updated: May 8, 2026

Surgical Treatment of an Endolymphatic Sac Tumor
Published on: May 26, 2023
Bilateral secondary neurolymphomatosis of the internal auditory canal nerves: a case report
Sarantis Blioskas1, Miltiadis Tsaligopoulos, Georgios Kyriafinis
11st Department of Otorhinolaryngology - Head and Neck Surgery, Aristotle University of Thessaloniki, AHEPA Hospital, 54636 Thessaloniki, Greece.
Background:
Neurolymphomatosis describes the malignant lymphomatous infiltration of nerves.
Methods:
We encountered a unique case of a 47-year-old patient with non-Hodgkin's lymphoma presenting with bilateral sensorineural hearing loss, vestibular dysfunction and bilateral facial nerve palsy.
Results:
Magnetic resonance imaging demonstrated enhancement and thickening of internal auditory canal nerves bilaterally consistent with neurolymphomatosis. Patient was treated with combined intrathecal chemotherapy and total brain irradiation.
Conclusions:
One must always remain vigilant for metastatic disease in patients with sensorineural hearing loss and/or vestibular dysfunction and facial nerve palsy in the context of known malignancy.
