両側性Panophthalmoplegiaを呈し頭蓋底進展を伴った副鼻腔悪性リンパ腫の1例

A Case of Bilateral Panophthalmoplegia Caused by Paranasal Malignant Lymphoma Extending into the Skull Base

I．はじめに

　従来，悪性リンパ腫はその多くがリンパ系組織より発生し，頭頸部領域においてもWaldeyer咽頭輪，頸部リンパ節部の発生が大部分を占め，この領域のうち副鼻腔に原発する頻度は4-12％^{8,10,18，）}と少なく比較的稀とされている．今回，著者らは副鼻腔原発の悪性リンパ腫により極めて稀な眼球運動障害である両側のpanophthal—moplegiaを主訴として来院した1例を経験したので若干の文献的考察を加え報告する．

A case of bilateral panophthalmoplegia developed af-ter paranasal malignant lymphoma is described, and previously reported cases are reviewed. A 74-year-old female was hospitalized with the chief complaints of bi-lateral ptosis and bilateral deep orbital pain that had developed over a 10-day period. Neurological examina-tion revealed bilateral dilated pupils, panophthalmople-gia, and hypalgesia in the area of the ophthalmic nerve on both sides. Laboratory studies and endocrinological examination were free from abnormal findings.