Primary Spinal Epidural Lymphoma As a Cause of Spontaneous Spinal Anterior Syndrome: A Case Report and Literature Review.
BackgroundPrimary spinal epidural lymphoma (PSEL) is one of the rarest categories of tumors. Spinal cord compression is an uncommon primary manifestation and requires to be treated with surgery for the purpose of diagnosis and decompression.Case PresentationA 45-year-old man presented with a new onset thoracic pain and progress to an anterior spinal syndrome with hypoesthesia and loss of thermalgesia. Magnetic resonance image showed a paravertebral mass that produces medullary compression at T3. The patient was taken up to surgery, where the pathology examination showed a diffuse large B-cell lymphoma.ConclusionsPSEL is a pathological entity, which must be considered on a middle-aged man who began with radicular compression, and the treatment of choice is decompression and biopsy. The specific management has not been established yet, but the literature suggests chemotherapy and radiotherapy; however, the outcome is unclear.
Department of Neurology and Neurosurgery, Hospital Central Sur de Alta Especialidad PEMEX, Mexico City, Mexico.
M E
ME
Córdoba-Mosqueda
Department of Neurology and Neurosurgery, Hospital Central Sur de Alta Especialidad PEMEX, Mexico City, Mexico.
J R
JR
Guerra-Mora
Department of Radiology, Hospital Central Sur de Alta Especialidad PEMEX, Mexico City, Mexico.
M C
MC
Sánchez-Silva
Department of Anatomical Pathology, Hospital Central Sur de Alta Especialidad PEMEX, Mexico City, Mexico.
R M
RM
Vicuña-González
Department of Neurology and Neurosurgery, Hospital Central Sur de Alta Especialidad PEMEX, Mexico City, Mexico.
A Ibarra-de la
AI
Torre
epidural; spinal compression; spinal epidural lymphoma