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Hemorrhage in the oculomotor nerve as a complication of leukemia
Author(s) -
Jinnai Kenji,
Hayashi Yoshitake
Publication year - 2001
Publication title -
neuropathology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.701
H-Index - 61
eISSN - 1440-1789
pISSN - 0919-6544
DOI - 10.1046/j.1440-1789.2001.00396.x
Subject(s) - medicine , oculomotor nerve , oculomotor nerve palsy , complication , paralysis , autopsy , palsy , leukemia , surgery , anesthesia , pathology , alternative medicine
Oculomotor paralysis of a patient with leukemia was revealed at autopsy to be caused by a hemorrhage in the oculomotor nerve. In a 63‐year‐old woman with pre‐B‐cell acute lymphatic leukemia, leukemic invasions occurred in her spinal cord and right oculomotor nerve during a hematological remission state. The oculomotor palsy was aggravated to complete paralysis during a leukemic relapse, which lasted until her death. An autopsy revealed a hemorrhage along with leukemic cells in the right oculomotor nerve at the segment in the upper orbital fissure. Although hemorrhagic oculomotor paralysis is a very rare complication, reports of its occurrence will likely increase with improved survival times of leukemia patients due to advances in chemotherapy.