Diffuse Large B-cell Lymphoma of the Sacral Nerve Root; Presenting as a Polyradiculoneuropathy

  • Oh, Sung-Han (Departments of Neurosurgery, Bundang Jesaeng General Hospital) ;
  • Noh, Jae-Sub (Departments of Neurosurgery, Bundang Jesaeng General Hospital) ;
  • Chung, Bong-Sub (Departments of Neurosurgery, Bundang Jesaeng General Hospital) ;
  • Paik, So-Ya (Departments of Pathology, Bundang Jesaeng General Hospital)
  • 발행 : 2005.01.31

초록

Primary spinal cord lymphomas are rare, and are either extra-/intradural masses with leptomeningeal infiltration or intramedullary in nature. The authors present a patient with a diffuse large B-cell lymphoma involving the sacral nerve root, extension to extradural space, and the cranial nerve.

키워드

참고문헌

  1. Freilich RJ, Delattre JY, Monjour A, De Angelis LM : Chemotherapy without radiation therapy as initial treatment for primary CNS lymphoma in older patients. Neurology 46 : 435-439, 1996 https://doi.org/10.1212/WNL.46.2.435
  2. Gumerlock MK : Recognition and management of central nervous system lymphoma. Contemp Neurosurg 12 : 1-8, 1990
  3. Jellinger K, Kotbauer P, Weiss R, Sunder-Plassmann E : Primary malignant lymphoma of the CNS and polyneuropathy in a patient with necrotizing vasculitis treated with immunosuppression. J Neurol 220 : 259-268, 1979 https://doi.org/10.1007/BF00314150
  4. Ji YC, Kim YB, Park SW, Hwang SN, Kwon JT, Min BK, et al : Primary intramedullary spinal cord lymphoma. Case report. J Korean Neurosurg Soc 28 : 570-575, 1999
  5. Julien J, Vital C, Rivel J, De Mascarel A, Lagueny A, Ferrer X, et al : Primary meningeal B lymphoma presenting as a subacute ascending polyradiculoneuropathy. J Neurol Neurosurg Psychiatry 54 : 610- 613, 1991 https://doi.org/10.1136/jnnp.54.7.610
  6. Khan RB, Shi W, Thaler HT, DeAngelis LM, Abrey LE : Is intrathecal methotrexate necessary in the treatment of primary CNS lymphoma? J Neurooncol 58 : 175-178, 2002 https://doi.org/10.1023/A:1016077907952
  7. Kim IM, Lee CY, Son EI, Kim DW, Yim MB, Kim SP, et al : Treatment strategies for primary central nervous system lymphoma. : J Korean Neurosurg Soc 30 : 334-341, 2001
  8. Kim SH, Lim DJ, Cho TH, Chung YG, Lee HK, Lee KC, et al : Primary epidural lymphoma mimicking epidural abscess in a diabetic- A case report. J Korean Neurosurg Soc 30 : 395-399, 2001
  9. Kim SH, Lim DJ, Cho TH, Park JY, Chang YG, Lee HK, et al : Primary Non-Hogkin's lymphomas presenting with extradural spinal cord compression as the initial manifestation. : J Korean Neurosurg Soc 29 : 1365-1371, 2000
  10. O'Neill BP, Illig JJ : Primaryt central nervous system lymphoma. Mayo Clin Proc 64 : 1005-1020, 1989 https://doi.org/10.1016/S0025-6196(12)61228-2
  11. Viswanathan R, Swamy NK, Vago J, Dunsker SB : Lymphoma of the lumbar nerve root. A case report. Neurosurgery 41 : 479-482, 1997 https://doi.org/10.1097/00006123-199708000-00033