Ohtsuki T, Nishimatsu H, Mizukami H, Makishima M, Ohnishi M, Kimura F, Motoyoshi K, Nagata N
Internal Medicine III, National Defense Medical College.
Rinsho Ketsueki. 1992 Jun;33(6):841-3.
A 64-year-old woman was admitted for treatment of malignant lymphoma involving the pharynx and abdomen. Lymphoma disappeared after chemotherapy and radiotherapy, but she had central nervous system symptoms; euphorism, left facial nerve palsy, right hemiplesia, and disturbance of micturition. Magnetic resonance imaging (MRI) revealed a diffuse dural thickening and a subdural fluid retention. The subdural fluid was determined to be an exudate, and a biopsy of the dura mater revealed a normal dura and a fibrin clot containing lymphoma cells and neutrophils. MRI can be very useful to detect the meningeal involvement of malignant lymphoma.
一名64岁女性因治疗累及咽部和腹部的恶性淋巴瘤入院。化疗和放疗后淋巴瘤消失，但她出现了中枢神经系统症状：欣快感、左侧面神经麻痹、右侧偏瘫和排尿障碍。磁共振成像（MRI）显示硬脑膜弥漫性增厚和硬膜下积液。硬膜下积液被确定为渗出物，硬脑膜活检显示硬脑膜正常，有一个含有淋巴瘤细胞和中性粒细胞的纤维蛋白凝块。MRI对于检测恶性淋巴瘤的脑膜受累非常有用。
