Department of Neurosurgery, Austin Health, Heidelberg, Victoria 3084, Australia.
Medical Imaging Department, Austin Health, Heidelberg, Victoria 3084, Australia.
CNS Oncol. 2020 Sep 1;9(3):CNS52. doi: 10.2217/cns-2020-0002. Epub 2020 Sep 29.
Primary Hodgkin lymphoma of the central nervous system is an exceedingly rare condition with very few cases reported in the literature. Isolated intradural involvement of the spine is rarer still, with only two prior cases located in the extramedullary cervical and lumbosacral spine. We present a 48-year-old female who was presented with back pain, radiculopathy and a short history of sphincter disturbance and was subsequently found to have a lobulated homogenously enhancing exophytic lesion involving the conus medullaris and cauda equina on magnetic resonance imaging. Histopathological examination demonstrated the features of classic Hodgkin lymphoma. In this report, we present a case of primary intramedullary Hodgkin lymphoma involving the conus medullaris and cauda equina.
原发性中枢神经系统霍奇金淋巴瘤极为罕见，文献报道的病例极少。孤立性硬脊膜内受累更为罕见，仅有两例先前位于颈髓外和腰骶段。我们报告了一位 48 岁女性，她因背痛、神经根病和短期的括约肌功能障碍就诊，随后发现磁共振成像显示圆锥和马尾有一个分叶状均匀增强的外生性病变。组织病理学检查显示典型霍奇金淋巴瘤的特征。在本报告中，我们介绍了一例累及圆锥和马尾的原发性髓内霍奇金淋巴瘤。
