Facial nerve paralysis and paraplegia as presenting symptoms of acute myeloid leukemia

Granulocytic sarcoma is an extramedullary tumor associated with acute or ch ronic leukemias or myeloproliferative disorders. Rarely, the tumor may be s een before the diagnosis of leukemia. Symptomatic facial nerve paralysis an d spinal cord invasion by granulocytic sarcomas are also relatively uncommo n. We present here a 17-year-old-female patient who had facial nerve paraly sis and paraplegia due to granulocytic sarcoma as the presenting symptoms o f acute myeloid leukemia.