Department of Neurological Surgery, George Washington University School of Medicine, 2150 Pennsylvania Avenue NW, Suite 7-420, Washington, DC 20037, USA.
Muscle Nerve. 2012 Mar;45(3):440-4. doi: 10.1002/mus.22292.
We present a detailed description of brachial plexus infiltration by acute myelogenous leukemia (AML) in the setting of a remission bone marrow biopsy, without evidence of leukemia by flow cytometric analysis. This case illustrates the possibility of dormant leukemic cells in the peripheral nervous system (PNS) in a patient in apparent clinical remission. In patients with an unexplained brachial plexopathy and a history of AML, leukemic infiltrate of the PNS must be considered.
我们呈现了一例在缓解期骨髓活检中急性髓系白血病(AML)侵袭臂丛神经的详细描述,流式细胞分析未发现白血病证据。该病例说明在临床表现缓解的患者中,外周神经系统(PNS)中可能存在休眠的白血病细胞。对于不明原因的臂丛神经病且有 AML 病史的患者,必须考虑 PNS 的白血病浸润。