title: Lymphoma Presenting as Acute-Onset Dysphagia.
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.
authors.affiliation: San Antonio Military Medical Center, Department of Neurology, 3551 Roger Brooke Drive, Fort Sam Houston, TX 78234, USA.
authors.forename: Daniel B
authors.initials: DB
authors.lastname: Simmons
authors.affiliation: San Antonio Military Medical Center, Department of Neurology, 3551 Roger Brooke Drive, Fort Sam Houston, TX 78234, USA.
authors.forename: Andrew W
authors.initials: AW
authors.lastname: Bursaw