Lacomis D, Smith T W, Long R R
Department of Pathology (Neuropathology), University of Massachusetts Medical Center, Worcester 01655.
Clin Neurol Neurosurg. 1992;94(4):311-5. doi: 10.1016/0303-8467(92)90180-b.
A 50-year-old man developed cauda equina syndrome of unknown etiology that was stable for 20 months. Two months prior to sudden death, he experienced new back pain, confusion, seizures, and multiple cranial nerve palsies. Neuropathologic examination revealed angiotropic lymphoma without parenchymal involvement or infarcts in the brain, spinal cord, and muscle. In addition, nerve roots in the cauda equina contained angiotropic lymphoma and infarcts of various ages. Angiotropic lymphoma should be considered as a cause of cauda equina syndrome and of disorders that affect the central and peripheral nervous systems concurrently.
一名50岁男性患上了病因不明的马尾综合征，病情稳定了20个月。在猝死前两个月，他出现了新的背痛、意识模糊、癫痫发作和多发性颅神经麻痹。神经病理学检查显示为血管中心性淋巴瘤，脑、脊髓和肌肉无实质受累或梗死。此外，马尾神经中的神经根含有血管中心性淋巴瘤和不同时期的梗死灶。血管中心性淋巴瘤应被视为马尾综合征以及同时影响中枢和周围神经系统疾病的病因之一。
