Abstract

A 9-year-old boy presented with a left-sided "tooth ache." Subsequently, he developed new onset vertical diplopia. He was found to have a left cranial nerve three palsy. Cranial magnetic resonance imaging showed bilateral cavernous sinus lesions that were initially interpreted as possible "cavernous sinus thrombosis." Subsequent blood smear and bone marrow biopsy disclosed Burkitt lymphoma. He was treated with chemotherapy and made a dramatic recovery. Burkitt lymphoma rarely presents with a third nerve palsy but should be considered in the differential diagnosis of childhood cavernous sinus syndrome.

Original languageEnglish (US)
Pages (from-to)231-236
Number of pages6
JournalSurvey of Ophthalmology
Volume49
Issue number2
DOIs
StatePublished - Mar 1 2004

Keywords

  • Burkitt lymphoma
  • Cavernous sinus
  • Cranial nerve III palsy

ASJC Scopus subject areas

  • Ophthalmology

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