Moreira Daniel Gabay, Sanmartin Paul E
Department of Neurology, University of Connecticut School of Medicine, Farmington, CT, USA.
Department of Neurology, Hartford Hospital, Hartford, CT, USA.
Neurohospitalist. 2024 Aug 21:19418744241276711. doi: 10.1177/19418744241276711.
We present a 22-year-old male with a subacute course of chin numbness, ophthalmoplegia, headache and left leg numbness in the setting of fever, chills and night sweats. Initial imaging investigations revealed cauda equina enhancement plus an infiltrative process at the basis of the skull associated with extensive bone marrow infiltration and lymphadenopathy elsewhere. We discuss the localization, differential diagnosis, and appropriate investigations for this unique clinical scenario. Important laboratory findings and treatment considerations are reviewed for this unusual final diagnosis.
我们报告一名22岁男性，在发热、寒战和盗汗的情况下，出现亚急性病程的下巴麻木、眼肌麻痹、头痛和左腿麻木。初始影像学检查显示马尾增强，以及颅底的浸润性病变，伴有广泛的骨髓浸润和其他部位的淋巴结病。我们讨论了这种独特临床情况的定位、鉴别诊断和适当的检查。针对这一不寻常的最终诊断，回顾了重要的实验室检查结果和治疗考虑因素。
