title: Autopsy-Proven Intravascular Lymphoma Presenting as Rapidly Recurrent Strokes.
abstract: We present a 79-year-old Japanese woman diagnosed with cerebral infarction. In spite of enough antiplatelet and anticoagulant therapy, she presented rapidly recurrent strokes three times for 3 months. Magnetic resonance imaging showed progression of bilateral cerebral infarcts, and chest-abdominal computed tomography showed multiple bilateral nodular lesions in the lung and multiple tumor lesions in the liver. Autopsy revealed diagnosis of intravascular lymphoma (IVL). This case indicates that IVL is rare and usually goes undiagnosed until time of autopsy because of its protean neurological manifestations; hence, it should be considered as a possible etiology if multiple strokes occur in a short period of time.
authors.affiliation: Department of Infectious Diseases, Kanazawa Medical University, Uchinada, Japan; Department of Community Medicine, Kanazawa Medical University Himi Municipal Hospital, Himi, Japan.
authors.forename: Daisuke
authors.initials: D
authors.lastname: Usuda
authors.affiliation: Department of Internal Medicine, Nanto Municipal Hospital, Nanto, Japan.
authors.forename: Masahisa
authors.initials: M
authors.lastname: Arahata
authors.affiliation: Department of Internal Medicine, Nanto Municipal Hospital, Nanto, Japan.
authors.forename: Rie
authors.initials: R
authors.lastname: Temaru
authors.affiliation: Department of Infectious Diseases, Kanazawa Medical University, Uchinada, Japan.
authors.forename: Yoshitsugu
authors.initials: Y
authors.lastname: Iinuma
authors.affiliation: Department of Community Medicine, Kanazawa Medical University Himi Municipal Hospital, Himi, Japan.
authors.forename: Tsugiyasu
authors.initials: T
authors.lastname: Kanda
authors.affiliation: Department of Diagnostic Pathology, Toyama University Hospital, Toyama, Japan.
authors.forename: Shinichi
authors.initials: S
authors.lastname: Hayashi
keywords: Autopsy; Intravascular lymphoma; Rapidly recurrent strokes