
Lymphoma Initially Appearing With Chin Numbness
Thomas M. Dugan, MD;
James L. Bernat, MD
Division of Neurology
Joseph F. O'Donnell, MD
Division of Oncology Department of Medicine Veterans Administration Hospital White River Junction, VT 05001 Dartmouth Medical School Hanover, NH 03755
Arch Neurol. 1980;37(5):327.
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To the Editor.—
Numbness of the chin is an uncommon neurologic symptom that is associated with cancer. Here we describe a patient with convoluted lymphocytic lymphoma who initially appeared with this complaint.
Report of a Case.—
A 26-year-old man came to the Veterans Administration Hospital in White River Junction, Vt, complaining of bilateral chin numbness and tingling. The numbness was described as similar to that experienced after a local anesthetic injection. There was no previous history of numbness or injury to the jaw. The patient was taking no medication. The results of a neurologic examination were entirely normal, with the exception of decreased sensation bilaterally to touch and pinprick over the chin, the mucous membranes of the lower lip, and the lower anterior gums bilaterally. There was no motor or sensory dysfunction in the other two divisions of the trigeminal nerve. A diagnosis of convoluted lymphocytic lymphoma was made on
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