title: Bilateral secondary neurolymphomatosis of the internal auditory canal nerves: a case report.
abstract: BACKGROUND
  Neurolymphomatosis describes the malignant lymphomatous infiltration of nerves.
  
  
  METHODS
  We encountered a unique case of a 47-year-old patient with non-Hodgkin's lymphoma presenting with bilateral sensorineural hearing loss, vestibular dysfunction and bilateral facial nerve palsy.
  
  
  RESULTS
  Magnetic resonance imaging demonstrated enhancement and thickening of internal auditory canal nerves bilaterally consistent with neurolymphomatosis. Patient was treated with combined intrathecal chemotherapy and total brain irradiation.
  
  
  CONCLUSIONS
  One must always remain vigilant for metastatic disease in patients with sensorineural hearing loss and/or vestibular dysfunction and facial nerve palsy in the context of known malignancy.
authors.affiliation: 1st Department of Otorhinolaryngology - Head and Neck Surgery, Aristotle University of Thessaloniki, AHEPA Hospital, 54636 Thessaloniki, Greece.
authors.forename: Sarantis
authors.initials: S
authors.lastname: Blioskas
authors.forename: Miltiadis
authors.initials: M
authors.lastname: Tsaligopoulos
authors.forename: Georgios
authors.initials: G
authors.lastname: Kyriafinis
authors.forename: Georgios
authors.initials: G
authors.lastname: Psillas
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Markou
authors.forename: Vasileios
authors.initials: V
authors.lastname: Perifanis
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Kouskouras
authors.forename: Victor
authors.initials: V
authors.lastname: Vital
mesh_terms: D003056:Cochlear Nerve / Q000473:pathology*; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D007758:Ear, Inner / Q000473:pathology*; D006319:Hearing Loss, Sensorineural / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008224:Lymphoma, Follicular / Q000150:complications / Q000175:diagnosis / Q000473:pathology*; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008875:Middle Aged; D009423:Nervous System Neoplasms / Q000150:complications / Q000175:diagnosis / Q000473:pathology*