Wilkening A, Brack M, Brandis A, Heidenreich F, Dengler R, Weibetaenborn K
Department of Neurology, Medical School of Hannover, Carl-Neuberg Strasse 1, D-30625 Hannover, Germany.
J Neurol Neurosurg Psychiatry. 2001 Jun;70(6):794-7. doi: 10.1136/jnnp.70.6.794.
Primary CNS lymphomas are detected with increasing frequency in immunocompetent and immunodeficient persons. Primary involvement of the spinal roots has only rarely been reported. The unusual history is described of a patient with a primary spinal Burkitt's lymphoma initially presenting as an S1 syndrome showing lymphocytic pleocytosis in the CSF, leading to the misdiagnosis of meningoradiculitis. Repeated spinal MRI disclosed a spinal mass lesion and histological and immunohistological examination of the tumour confirmed the diagnosis of spinal Burkitt's lymphoma.
原发性中枢神经系统淋巴瘤在免疫功能正常和免疫功能低下的人群中检出率日益增加。脊髓神经根的原发性受累情况鲜有报道。本文描述了一名原发性脊髓伯基特淋巴瘤患者的不寻常病史，该患者最初表现为S1综合征，脑脊液中淋巴细胞增多，导致误诊为脑脊神经根炎。反复的脊髓磁共振成像显示有脊髓肿块病变，对肿瘤进行组织学和免疫组织学检查确诊为脊髓伯基特淋巴瘤。
