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[马尾综合征导致脊柱恶性非霍奇金淋巴瘤的诊断]

[Cauda equina syndrome leading to diagnosis of malignant non-Hodgkin lymphoma of the spine].

作者信息

Rafai Mohammed Abdoh, Boulaajaj Fatima Zohra, Moutawakkil Bouchra El, Bourezgui Meryem, Sibai Manal, Sahnoun Abderazak, Naja Abdellah, Azhari Abdessamad, Slassi Ilham

机构信息

Service de neurologie-explorations fonctionnelles, CHU Ibn Rochd, Quartier des Hôpitaux, MA-20000 Casablanca, Maroc.

出版信息

Presse Med. 2008 May;37(5 Pt 1):787-8. doi: 10.1016/j.lpm.2007.05.043. Epub 2008 Jan 16.

DOI:10.1016/j.lpm.2007.05.043
PMID:18201863
Abstract

INTRODUCTION

Malignant non-Hodgkin lymphoma is a lymphoid proliferation. Peripheral neuropathies are observed in only 2-8% of cases.

CASE

We report a case in which cauda equina syndrome in a 29-year-old man led to the diagnosis of a painless non-Hodgkin lymphoma of the spine. Combined chemotherapy and radiation therapy produced spectacular improvement.

DISCUSSION

Infiltration of the cauda equina roots is rare in malignant non-Hodgkin lymphoma and raises problems for positive diagnosis. The good outcome under treatment underlines the interest in considering this cause in disorders affecting the cauda equina, despite its rarity.

摘要

引言

恶性非霍奇金淋巴瘤是一种淋巴组织增生性疾病。仅2% - 8%的病例会出现周围神经病变。

病例

我们报告一例29岁男性马尾综合征病例,该病例最终诊断为脊柱无痛性非霍奇金淋巴瘤。联合化疗和放疗取得了显著疗效。

讨论

恶性非霍奇金淋巴瘤侵犯马尾神经极为罕见,给明确诊断带来困难。尽管罕见,但该病例治疗效果良好,这凸显了在马尾综合征相关疾病中考虑这一病因的重要性。

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