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Primary Central Nervous System Post-transplant Lymphoproliferative Disorder Diagnosed by Peripheral Facial Nerve Palsy

机译:周围性面神经麻痹诊断原发性中枢神经系统移植后淋巴细胞增生性疾病

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摘要

Although primary central nervous system post-transplant lymphoproliferative disorder (PCNS-PTLD) causes various symptoms depending on the tumor region, there has been no previous report of PCNS-PTLD in the cerebellopontine angle that was diagnosed due to peripheral facial nerve palsy. We herein report a case involving a 62-year-old man with PCNS-PTLD in the cerebellopontine angle who was diagnosed due to peripheral facial nerve palsy. The reduction of immunosuppressive therapy, whole-brain radiotherapy, intrathecal chemotherapy, and rituximab were effective in treating this patient. Physicians should therefore be mindful that PCNS-PTLD can cause peripheral facial nerve palsy in renal transplant recipients.
机译:尽管原发性中枢神经系统移植后淋巴细胞增生性疾病(PCNS-PTLD)会根据肿瘤部位而引起各种症状,但先前没有关于小脑桥脑角PCNS-PTLD的报道,该报道是由于周围面神经麻痹而诊断出来的。我们在此报告了一个病例,该病例涉及一名62岁小脑桥角PCNS-PTLD的男子,该男子被诊断为周围性面神经麻痹。减少免疫抑制疗法,全脑放疗,鞘内化疗和利妥昔单抗可有效治疗该患者。因此,医师应注意PCNS-PTLD可导致肾移植受者周围性面神经麻痹。

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