Acute unilateral third nerve palsy as an early manifestation of central nervous system relapse in a patient with acute myeloid leukemia

Authors

• Abdullah S. Al-Mujaini, Department of Ophthalmology, PO Box 38, 123 Al-Khod, Muscat, Sultanate of Oman. Tel. +968 (2) 4141713. Fax. +968 (2) 4144580. E-mail: mujainisqu{at}hotmail.com
• Humoud H. Al-Dhuhli, Department of Ophthalmology, PO Box 38, 123 Al-Khod, Muscat, Sultanate of Oman. Tel. +968 (2) 4141713. Fax. +968 (2) 4144580. E-mail: mujainisqu{at}hotmail.com
• David J. Dennison, Department of Ophthalmology, PO Box 38, 123 Al-Khod, Muscat, Sultanate of Oman. Tel. +968 (2) 4141713. Fax. +968 (2) 4144580. E-mail: mujainisqu{at}hotmail.com

Abstract

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

Article Type

Case Report

First Page

961

Last Page

963

Recommended Citation

Al-Mujaini, Abdullah S.; Al-Dhuhli, Humoud H.; and Dennison, David J. (2009) "Acute unilateral third nerve palsy as an early manifestation of central nervous system relapse in a patient with acute myeloid leukemia," Saudi Medical Journal: Vol. 30: Iss. 7, Article 20.
DOI: https://doi.org/10.15537/1658-3175.4782