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Bifocal optic and facial nerve t-cell lymphoma
Bulletin De La Societe Belge D'Ophtalmologie
|June 14, 2014
Summary
A rare case of T-cell lymphoma infiltrated the optic and facial nerves without central nervous system involvement. This bifocal cranial recurrence highlights an atypical presentation of systemic lymphoma.
Area of Science:
- Ophthalmology
- Neurology
- Oncology
Background:
- Systemic lymphoma infiltration of the optic nerve is rare.
- T-cell lymphoma involvement of the optic nerve is exceptionally uncommon.
- Optic nerve involvement typically occurs with central nervous system (CNS) disease.
Observation:
- A 63-year-old female with T-cell lymphoma presented with vision loss in the left eye.
- She developed facial nerve (7th cranial nerve) paresis.
- Optic nerve biopsy confirmed T-cell lymphoma infiltration.
Findings:
- The patient had a bifocal cranial recurrence involving the left optic nerve and right facial nerve.
- No evidence of CNS or systemic disease was found.
- The presentation was highly atypical for T-cell lymphoma recurrence.
Implications:
- This case underscores the importance of considering rare presentations of lymphoma recurrence.
- Early diagnosis and treatment are crucial for managing atypical lymphoma involvement.
- Further research into non-CNS T-cell lymphoma presentations is warranted.
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