Abstract
We present a patient with subacute progressive paraparesis secondary to intravascular lymphoma restricted to the spinal cord where initial laboratory and imaging studies were inconclusive. We emphasise the importance of a systematic approach to the diagnosis and highlight the utility of spinal cord biopsy to establish the definitive diagnosis of this rare but treatable illness.
MeSH terms
-
Adrenal Cortex Hormones / therapeutic use
-
Aged
-
Antineoplastic Agents / therapeutic use
-
Diagnosis, Differential
-
Disease Progression
-
Humans
-
Lymphoma, B-Cell / complications*
-
Lymphoma, B-Cell / pathology
-
Lymphoma, B-Cell / physiopathology*
-
Magnetic Resonance Imaging
-
Male
-
Nerve Fibers, Myelinated / pathology
-
Paraparesis / etiology*
-
Paraparesis / pathology
-
Paraparesis / physiopathology*
-
Paraplegia / etiology
-
Paraplegia / pathology
-
Paraplegia / physiopathology
-
Spinal Cord / blood supply
-
Spinal Cord / pathology
-
Spinal Cord / physiopathology
-
Spinal Cord Ischemia / etiology*
-
Spinal Cord Ischemia / pathology
-
Spinal Cord Ischemia / physiopathology*
-
Treatment Outcome
-
Vascular Neoplasms / complications*
-
Vascular Neoplasms / pathology
-
Vascular Neoplasms / physiopathology*
Substances
-
Adrenal Cortex Hormones
-
Antineoplastic Agents