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Bilateral Facial Nerve Palsy in Acute B Cell Lymphoblastic Leukemia: A Case Report and Review of the Literature

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Indian Journal of Hematology and Blood Transfusion Aims and scope Submit manuscript

Abstract

Acute lymphoblastic leukemia (ALL) is a haematological malignancy that can involve the central nervous system (CNS). Less than 10 % of patients with ALL have CNS involvement at presentation. The cranial nerve most commonly affected is cranial nerve VII although bilateral involvement is rare. Management and outcomes of these patients are not well understood. Moreover bilateral Bells palsy as a presenting symptom of ALL is extremely uncommon. We report a very unusual presentation of ALL with bilateral facial nerve palsy, and discuss the management strategies and outcomes for patients with ALL that present with cranial nerve palsies.

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Authors and Affiliations

  1. Department of Internal Medicine, UT Southwestern Medical Center, Dallas, TX, USA

    Shiraj Sen & Arjun Gupta

  2. Department of Pathology, UT Southwestern Medical Center, Dallas, TX, USA

    Paul Friedman

  3. Department of Hematology-Oncology, UT Southwestern Medical Center, Seay Biomedical Building, 2201 Inwood Road, Dallas, TX, 75390-8562, USA

    Harris V. Naina

Authors
  1. Shiraj Sen
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  2. Arjun Gupta
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  3. Paul Friedman
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  4. Harris V. Naina
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Correspondence to Harris V. Naina.

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Sen, S., Gupta, A., Friedman, P. et al. Bilateral Facial Nerve Palsy in Acute B Cell Lymphoblastic Leukemia: A Case Report and Review of the Literature. Indian J Hematol Blood Transfus 32 (Suppl 1), 15–19 (2016). https://doi.org/10.1007/s12288-015-0526-1

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  • DOI: https://doi.org/10.1007/s12288-015-0526-1

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