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Recurrent unilateral facial nerve palsy in acute lymphocytic leukaemia
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Recurrent unilateral facial nerve palsy in acute lymphocytic leukaemia
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Recurrent unilateral facial nerve palsy in acute lymphocytic leukaemia
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Journal Article
Recurrent unilateral facial nerve palsy in acute lymphocytic leukaemia
2024
Overview
A man in his mid-20s developed three episodes of right facial weakness over 5 months. He had a history of B-cell acute lymphoblastic leukaemia (ALL) in remission following allogenic stem cell transplantation. MR scan of brain during the second presentation showed facial nerve enhancement; cerebrospinal fluid (CSF) cytology and flow cytometry were negative. Re-assessment at the third presentation identified CSF B-lymphoblasts, and he was subsequently treated for central nervous system relapse of leukaemia. This case highlights an infrequent presenting symptom of ALL relapse and a rare cause of recurrent facial nerve palsy.
