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.
Grassi
Michael A
MA
Department of Ophthalmology, the University of Iowa Hospitals and Clinics, Iowa City, Iowa 52246, USA.
Lee
Andrew G
AG
D002051:Burkitt Lymphoma / Q000150:complications / Q000175:diagnosis*; D004172:Diplopia / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D016483:Lymphoma, AIDS-Related / Q000150:complications / Q000175:diagnosis*; D008279:Magnetic Resonance Imaging; D008297:Male; D008582:Meningitis, Aseptic / Q000150:complications / Q000175:diagnosis*; D008875:Middle Aged; D012189:Retrospective Studies