When Life Gives You Lymphocytes, Make Limeade (Presentation Video)

Acute onset horizontal diplopia; left facial weaknessA 62-year old female; hypercholesterolemia.20/30 OU, left abduction deficit of 14 prism dioptersCT; MRINon-enhancing foci of FLAIR hyperintensity in the subcortical and deep white matter, and the left frontal lobe; An abundance of small and atypical lymphocytesAntibiotics1. Batinac, T., et al., Lyme borreliosis and multiple sclerosis are associated with primary effusion lymphoma. Medical Hypotheses, 69, 117-119, 2007. 2. Fernandez, R. E. et al., Lyme disease of the CNS: MR imaging findings in 14 cases. American Journal of Neuroradiology, 11(3), 479-481, 1990. 3. Jelic, S. and Filippovic-Ljeskovic, I. Positive Serology for Lyme Disease Borrelias in Primary Cutaneous B-cell Lymphoma: A study in 22 patients: Is it a fortuitous finding? Hematological Oncology, 17, 107-116, 1999. 4. Kieslich, M., et al., Lyme borreliosis mimicking central nervous system malignancy: the diagnostic pitfall of cerebrospinal fluid cytology. Brain & Development, 22, 403-405, 2000. 5. Walther, E.U., et al., Lyme Neuroborreliosis Mimicking Primary CNS Lymphoma. Eur Neurol, 51, 43-45, 2004.VBlymediseas