B-cell lymphoma infiltration of cerebrospinal fluid with minimal symptoms and benign course

Skripuletz, Thomas; Pul, Refik; Wurster, Ulrich; Peest, D.; Dengler, Reinhard; Stangel, Martin

doi:10.1016/j.jocn.2010.11.019

Cited by 2 publications

(2 citation statements)

References 9 publications

(4 reference statements)

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“…However, isolated up beating central positioning nystagmus is relatively rare and rather confusing. Habek et al. (2011) have reported a patient with up beating positional nystagmus and proposed damage to the ventral tegmental tract due to pontine stroke.…”

Section: Discussionmentioning

confidence: 99%

Acute thrombosis of the carotid artery associated with positional nystagmus at multiple planes

2019

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Objective An acute onset central pathology without any clear neurological symptoms may mimic peripheral vestibular problem in an emergency setting. A 54-year-old man suddenly developed dizziness without any cranial nerve symptoms, paresis, cerebellar signs or sensory disturbances except upbeat positional nystagmus at multiple provoked positions which alerted for a possible acute central pathology. Findings An instantaneous magnetic resonance imaging and angiography studies further showed obstruction of the left internal carotid artery above the bifurcation. The patient’s subsequent prognosis was consistent with good recovery following anti-coagulant therapy. A follow-up MRI and angiography showed resolution of thrombosis. Conclusion It should be kept in mind that positional nystagmus is likely to occur in central pathologies. Differentiation between benign paroxysmal positional vertigo and central positioning nystagmus is critical.

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Section: Discussionmentioning

confidence: 99%

Acute thrombosis of the carotid artery associated with positional nystagmus at multiple planes

2019

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“…Heimans et al 8 described a patient with non-Hodgkin's lymphoma with B-cells in the CSF, found 10 years prior to the definitive diagnosis. In that period the patient had no signs of a haematologic disease.…”

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confidence: 99%