Primary spinal epidural non-Hodgkin’s lymphoma presented with spinal cord compression syndrome

2009 ◽  
Vol 3 (4) ◽  
pp. 499-502
Author(s):  
Chunquan Cai ◽  
Qingjiang Zhang ◽  
Changhong Shen
1992 ◽  
Vol 78 (6) ◽  
pp. 397-402 ◽  
Author(s):  
llan G. Ron ◽  
Irith Reider ◽  
Nelly Wigler ◽  
Samario Chaitchik

Primary spinal epidural lymphoma (Stage I) is diagnosed predominantly late after a long prodromal phase of local back pain resulting in spinal cord compression. The use of CT and NMR images in the early stage of investigation and their analysis may help to diagnose these cases prior to the appearance of neurologic deficit. We report on 2 patients who presented with prolonged localized back pain with sudden symptoms of spinal cord compression. CAT scan and NMR imaging demonstrated the characteristic appearance of lymphoma. Decompressive laminectomy supported the diagnosis. Radiotherapy treatment to the region of the non-Hodgkin's lymphoma resulted in complete resolution. Thereafter, systemic chemotherapy with CHOP achieved a good response.


2015 ◽  
Vol 9 (4) ◽  
pp. 380
Author(s):  
Bilal Bin Abdullah ◽  
Nida Nausheen ◽  
Nagur Khuda Baksh ◽  
Naga Dharma Teja Keerthi

We report a 25-year-old lady presenting to the outpatient department of a tertiary care hospital with spinal cord compression. Initially we had a diagnostic difficulty, as its presentation was perplexing. Finally we pointed towards the diagnosis of non- Hodgkin’s lymphoma and proved it. This article carries a message for the clinicians as clinical fallacies were noticed towards pointing this diagnosis. We have clearly explained the shortcomings in evaluating a case making a diagnosis towards non- Hodgkin’s lymphoma and spinal cord compression, as many situations in the setting were simulating and overlapping.


Neurosurgery ◽  
1990 ◽  
Vol 27 (5) ◽  
pp. 834-836 ◽  
Author(s):  
Adilia Hormigo ◽  
J. Lobo-Antunes ◽  
J. M. Bravo-Marques ◽  
Silvério M. Marques

Abstract A case of syringomyelia secondary to an extramedullary cervical spinal cord compression by a non-Hodgkin's lymphoma is described. After radiotherapy. the syrinx was no longer seen. The pathogenesis of this type of syrinx is discussed, and the potential benefit of radiotherapy in these cases is suggested.


2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Carlos Eduardo Salazar-Mejía ◽  
Edio Llerena-Hernández ◽  
David Hernández-Barajas ◽  
Oscar Vidal-Gutiérrez ◽  
Adriana González-Gutiérrez ◽  
...  

Malignant spinal cord compression syndrome (MSCCS) occurs in 2.5 to 5% of all oncological patients. In 20% of the cases, it is the initial manifestation. This syndrome is a rare event among germ cell tumors (GCT), occurring in only 1.7% of the patients. We present the case of a 24-year-old man who arrived at the emergency department with dysesthesia and paraparesis as well as urinary incontinence. Imaging studies showed an infiltrative lesion in the left testicle, pulmonary and hepatic metastatic disease, and a large retroperitoneal ganglionar conglomerate that infiltrated the spinal cord through the intervertebral foramina of the vertebra level T11 with displacement of the L1 vertebral body. A postoperative biopsy showed a pure embryonal carcinoma. In the initial approach of a young man who presents spinal cord compression, the presence of MSCCS associated with GCT should be considered as a possible cause. A high level of suspicion is required to achieve a timely diagnosis, to grant the patient the best possible outcome.


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