NeoplasmA case of primary spinal intramedullary lymphoma
Section snippets
Case report
A 41-year-old male was admitted to our clinic with left hemiparesis of 1 month’s duration and marked left arm weakness. The patient was able to walk, his deep tendon reflexes were hyperactive, and there was a positive Babinski’s sign on the left. Spinal magnetic resonance imaging (MRI) results showed enlargement of the spinal cord and an intramedullary mass between C2 and C4 (Figure 1A). We performed bilateral laminectomies at vertebrae C2, C3, and C4, and exposed a yellowish-white
Discussion
Less than 1% of all non-Hodgkin’s lymphomas are intramedullary tumors 1, 6, 13. Individuals at particularly high risk for developing CNS lymphoma include transplant recipients and patients with acquired immunodeficiency syndrome, congenital immune deficiency, or Epstein-Barr virus infection 2, 10, 11. Most intramedullary non-Hodgkin’s lymphoma lesions are found in the upper thoracic or lower cervical regions of the spinal cord 1, 13. Contrast-enhanced CT or MRI should be done at the first sign
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