【摘要】 目的:探讨表现为海绵窦综合征的恶性淋巴瘤的临床特点。方法:回顾性分析我科收治的1例表现为痛性眼肌麻痹、额部痛觉减退和视乳头水肿的非霍奇金淋巴瘤患者,并复习了既往报道的19例类似病例。结果:其中大部分患者为非霍奇金淋巴瘤,临床表现缺乏特异性,头颅核磁共振检查可以较早发现病灶,肿块或淋巴结的活检或穿刺是诊断的重要组织学依据。结论:恶性淋巴瘤是海绵窦综合征的一个重要鉴别诊断。更多还原

【Abstract】 Aim: To investigate the clinical features of malignant lymphoma that manifested as a cavernous sinus syndrome (CSS). Methods:A patient with non-Hodgkin’s lymphoma that presented with painful ophthalmoplegia, sensation loss in the distribution of the ophthalmic nerve and papilledema was retrospectively analyzed. The literature of nineteen cases were reviewed. Results: Most of them were non-Hodgkin’s lymphoma. There were no characteristic presenting symptoms to differentiate lymphoma from other causes of CSS. The magnetic resonance imaging of the head could confirm a cavernous sinus localization during the early stages of the disease. The biopsy or puncture of the lymph node or mass was a crucial histological examination in the final diagnosis. Conclusion: Malignant lymphoma should be an important consideration in the differential diagnosis of CSS.更多还原