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Case Reports in Neurological Medicine
Volume 2015, Article ID 745121, 3 pages
http://dx.doi.org/10.1155/2015/745121
Case Report

Lymphoma Presenting as Acute-Onset Dysphagia

San Antonio Military Medical Center, Department of Neurology, 3551 Roger Brooke Drive, Fort Sam Houston, TX 78234, USA

Received 16 August 2015; Accepted 28 October 2015

Academic Editor: Isabella Laura Simone

Copyright © 2015 Daniel B. Simmons and Andrew W. Bursaw. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 61-year-old man with recent Bell’s palsy developed acute vocal cord paralysis causing severe dysphagia. CSF analysis showed elevated protein and a normal cell count; contrast-enhanced MRI of the brain was normal. He was treated with IVIG for a presumed bulbar-variant AIDP and gradually improved. Six months later, the patient developed rapidly progressive hearing loss and vestibular dysfunction. Repeat MRI revealed bilateral enhancement of the eighth cranial nerves and a hypercellular mass in the left temporal lobe. Biopsy of the mass confirmed the diagnosis of diffuse large B-cell lymphoma. Lymphomatous invasion of the cranial nerves should be considered in cases of relapsing cranial neuropathies.