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

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.