Intracranial involvement by Hodgkin's disease is rare. No particular risk factors have been uncovered which are associated with the development of intracranial disease. Intracranial involvement by Hodgkin's disease is exceedingly rare as an initial site of presentation, and in nearly all of the reported cases, intracranial disesse was associated with relapsing disease elsewhere. Here we report a 52 year old man who has paralytic strabismus due to abducens nerve palsy by relapsed Hodgkin's disease.