Department of Neurosurgery, Shin-Kong Wu Ho-Su Memorial Hospital, 95 Wen-Chang Road, Shih-Lin District, Taipei 111, Taiwan.
J Clin Neurosci. 2013 Jul;20(7):1029-31. doi: 10.1016/j.jocn.2012.06.017. Epub 2013 Apr 12.
Non-Hodgkin's lymphoma involving the spinal nerve roots is rare. The presentation of nerve root lymphoma mimics other forms of radiculopathy. In vivo, nerve root lymphomas are difficult to differentiate from nerve sheath tumors by imaging studies. The nature of the tumor can be determined best by histological examination. Surgical removal of nerve root lymphomas commonly produces trauma to the nerve roots. Hence, we prefer to use surgical decompression of nerve roots rather than tumor enucleation. Here, we present a patient with a lumbar nerve root lymphoma to remind clinicians of the possibility of non-Hodgkin's lymphoma in instances of lumbar radiculopathy.
累及脊神经根的非霍奇金淋巴瘤较为罕见。神经根淋巴瘤的表现类似于其他形式的神经根病。在体内，影像学研究很难将神经根淋巴瘤与神经鞘瘤区分开来。通过组织学检查可以最好地确定肿瘤的性质。手术切除神经根淋巴瘤通常会对神经根造成创伤。因此，我们更倾向于使用神经根减压手术，而不是肿瘤切除术。在此，我们报告一例腰椎神经根淋巴瘤患者，以提醒临床医生在出现腰椎神经根病时要考虑到非霍奇金淋巴瘤的可能性。
