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American Journal of Ophthalmology 2002-Mar

Lymphomatous meningitis of the Burkitt type presenting with multiple cranial neuropathies.

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Michael A Grassi
Andrew G Lee

Keywords

Abstract

OBJECTIVE

To describe diplopia as the initial manifestation of the Burkitt lymphoma.

METHODS

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.

CONCLUSIONS

Ophthalmologists should be aware that diplopia may be the presenting manifestation of Burkitt lymphoma in an immunocompromised patient.

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