Downbeat nystagmus caused by thiamine deficiency: an unusual presentation of CNS localization of large cell anaplastic CD 30-positive non-Hodgkin's lymphoma.

Abstract:

:A 24-year-old woman with a large cell anaplastic CD 30-positive T-cell non-Hodgkin's lymphoma (NHL) developed downbeat nystagmus, anisocoria, and oscillopsia. Prior to overt cerebral invasion by NHL, she had a thiamine deficiency with very low thiamine concentrations in the CSF, probably caused by protracted vomiting and increased vitamin B1 consumption by intrathecal tumor cells. We believe that her neurologic symptoms were caused -- at least partly -- by thiamine deficiency, as she reacted well to thiamine supplementation at the beginning of treatment.

journal_name

Ann Hematol

journal_title

Annals of hematology

authors

Mulder AH,Raemaekers JM,Boerman RH,Mattijssen V

doi

10.1007/s002770050484

subject

Has Abstract

pub_date

1999-02-01 00:00:00

pages

105-7

issue

2

eissn

0939-5555

issn

1432-0584

journal_volume

78

pub_type

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