Diffuse large B-cell non-Hodgkin's lymphoma associated with bilateral carotid-cavernous fistulas in an elderly woman.
A 74-year-old woman presented with a 2-month history of left proptosis, left eye chemosis, left abducens nerve palsy and cervical lymphadenopathy. She was noted to have bilateral carotid cavernous fistulas and was treated with transvenous coil embolization. The diagnosis of diffuse large B-cell non-Hodgkin's lymphoma was only confirmed 4 months later, despite a high index of suspicion, after clinical deterioration. This is, to our knowledge the first reported case of non-Hodgkin's lymphoma associated with bilateral carotid cavernous fistulas.
Wong
George K C
GK
Division of Neurosurgery, Department of Surgery, Prince of Wales Hospital, Shatin, New Territories, and Chinese University of Hong Kong, SAR, China.
Sze
Amy M L
AM
Yu
Simon C H
SC
Choi
Paul C L
PC
Poon
W S
WS
D000368:Aged; D000792:Angiography / Q000379:methods; D020216:Carotid-Cavernous Sinus Fistula / Q000150:complications* / Q000175:diagnosis; D005260:Female; D006801:Humans; D016403:Lymphoma, Large B-Cell, Diffuse / Q000150:complications* / Q000175:diagnosis; D014057:Tomography, X-Ray Computed / Q000379:methods