Intravascular lymphoma presenting as progressive paraparesis.
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.
Grove
C S
CS
Department of Haematology, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia.
Robbins
P D
PD
Kermode
A G
AG
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000368:Aged; D000970:Antineoplastic Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D018450:Disease Progression; D006801:Humans; D016393:Lymphoma, B-Cell / Q000150:complications* / Q000473:pathology / Q000503:physiopathology*; D008279:Magnetic Resonance Imaging; D008297:Male; D009413:Nerve Fibers, Myelinated / Q000473:pathology; D020335:Paraparesis / Q000209:etiology* / Q000473:pathology / Q000503:physiopathology*; D010264:Paraplegia / Q000209:etiology / Q000473:pathology / Q000503:physiopathology; D013116:Spinal Cord / Q000098:blood supply / Q000473:pathology / Q000503:physiopathology; D020760:Spinal Cord Ischemia / Q000209:etiology* / Q000473:pathology / Q000503:physiopathology*; D016896:Treatment Outcome; D019043:Vascular Neoplasms / Q000150:complications* / Q000473:pathology / Q000503:physiopathology*
D000305:Adrenal Cortex Hormones; D000970:Antineoplastic Agents