Collins S, Helme R D
Prince Henry's Hospital, Melbourne, Vic.
Aust N Z J Med. 1989 Apr;19(2):144-6. doi: 10.1111/j.1445-5994.1989.tb00225.x.
A 50-year-old male presented with symptoms of a progressive spinal cord lesion over two and a half months investigations, including myelography, CT scan and magnetic resonance imaging (MRI), did not show cord compression although the MRI scan demonstrated thickening of the posterior cervical meninges. CSF examination revealed pleocytosis, increased total protein and cells suggestive of a lymphoproliferative disorder. Open lung biopsy of an asymptomatic left midzone mass was diagnostic of lymphomatoid granulomatosis. We believe this to be a case of lymphomatoid granulomatosis presenting as a progressive cervical myelopathy.
一名50岁男性在两个半月的时间里出现了进行性脊髓病变的症状。包括脊髓造影、CT扫描和磁共振成像（MRI）在内的检查未显示脊髓受压，尽管MRI扫描显示颈后脑膜增厚。脑脊液检查显示细胞增多、总蛋白增加，细胞提示存在淋巴增殖性疾病。对无症状的左肺中区肿块进行的开放性肺活检诊断为淋巴瘤样肉芽肿病。我们认为这是一例以进行性颈髓病形式出现的淋巴瘤样肉芽肿病病例。
