Acute unilateral third nerve palsy as an early manifestation of central nervous system relapse in a patient with acute myeloid leukemia.
The reported incidence of central nervous system (CNS) involvement by acute myeloid leukemia (AML) ranges widely from less than 10-30%. Acute unilateral third nerve palsy is an unusual first manifestation of such an event. We describe a rare ophthalmologic manifestation of CNS relapse in a 25-year-old patient with AML who had undergone allogeneic stem cell transplant, and demonstrate the value of MRI in the early diagnosis.
Al-Mujaini
Abdullah S
AS
Department of Ophthalmology, Sultan Qaboos University Hospital, Al-Khod, Muscat, Saltanate of Oman. mujainisqu@hotmail.com
Al-Dhuhli
Humoud H
HH
Dennison
David J
DJ
D000328:Adult; D006801:Humans; D015470:Leukemia, Myeloid, Acute / Q000150:complications* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D015840:Oculomotor Nerve Diseases / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology; D033581:Stem Cell Transplantation