European Journal of Radiology
Volume 44, Issue 1 , Pages 16-18, October 2002

Trigeminal nerve involvement in T-cell acute lymphoblastic leukemia: value of MR imaging

Department of Radiology, Ibn-i Sina Hospital, University of Ankara, Sıhhiye, 06100 Ankara, Turkey

Received 28 May 2001; received in revised form 10 July 2001; accepted 11 July 2001.

Abstract 

A 30-year-old male with T-cell acute lymphoblastic leukemia presented with facial numbness. Neurological examination revealed paresthesia of the left trigeminal nerve. Cerebrospinal fluid (CSF) cytology showed no atypical cells. Gadolinium-enhanced magnetic resonance (MR) imaging demonstrated enlargement and enhancement of intracranial portions of the left trigeminal nerve. The abnormal MR imaging findings almost completely resolved after the chemotherapy. Gadolinium-enhanced MR imaging is not only a useful procedure for the early diagnosis of cranial nerve invasion by leukemia but it might be helpful to follow the changes after the treatment.

Keywords:  Magnetic resonance imaging, Leukemia, Cranial nerves

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PII: S0720-048X(01)00388-6

European Journal of Radiology
Volume 44, Issue 1 , Pages 16-18, October 2002