Neurology Department, Cerrahpasa Medical Faculty, Istanbul University-Cerrahpasa, İstanbul, Turkey.
Hematology Department, Cerrahpasa Medical Faculty, Istanbul University-Cerrahpasa, İstanbul, Turkey.
J Spinal Cord Med. 2023 May;46(3):521-524. doi: 10.1080/10790268.2022.2087137. Epub 2022 Jun 27.
65-year-old female diagnosed with longitudinally extensive transverse myelitis. She had excellent response to immunotherapy despite her atypical features, and her spinal lesion was fully recovered in the second month of the treatment. Nine months after, she was diagnosed with primary cerebral central nervous system lymphoma while there was no recurrence of the spinal cord lesion as her most recent follow-up visit being 2 years after the LETM. Spinal sentinel neuroinflammation preceding primary central nervous system lymphoma might represent a valuable etiology in the differentials of LETM, as illustrated here.
一位 65 岁女性被诊断为长节段横贯性脊髓炎。尽管她的症状不典型，但她对免疫疗法反应良好，治疗的第二个月时她的脊髓病变已完全恢复。9 个月后，她被诊断为原发性大脑中枢神经系统淋巴瘤，而她最近的随访是在 LETM 后 2 年，此时她的脊髓病变没有复发。原发性中枢神经系统淋巴瘤之前的脊髓哨兵神经炎症可能代表 LETM 鉴别诊断中的一个有价值的病因，如下所示。
