Main Intramedullary Malignant Lymphoma within the Cervical Wire with a Presyrinx State.
Cureus. 2017 Dec 30;9(12):e2006
Authors: Chida Ok, Sugawara A, Koji T, Beppu T, Mue Y, Sugai T, Ogasawara Ok
A 79-year-old man introduced with main intramedullary malignant lymphoma with a presyrinx state within the cervical wire manifesting as left hemiparesis and hemidysesthesia. The magnetic resonance imaging (MRI) scan confirmed an intramedullary mass within the cervical spinal wire on the stage of C1 and T2-weighted picture prolongation from the medulla to the extent of C5. In keeping with the development of hemiparesis, he underwent an emergency removing of the tumor underneath common anesthesia. The tumor was completely eliminated, and the peritumoral sign abnormality was not current within the postoperative MRI. Histological examination revealed diffuse giant B cell lymphoma. Whereas mind MRI, bone marrow puncture, and 18F-fluorodeoxy-glucose positron emission tomography (18FDG-PET) of the entire physique had been carried out to search out out a main lesion, there have been no abnormalities. He underwent a high-dose methotrexate-based chemotherapy and an area irradiation remedy (40Gy). He has been alive for greater than two years for the reason that symptom onset, and with none proof of recurrence. This case means that malignant lymphoma, as an infiltrating and quickly progressive tumor, could also be accompanied by syrinx.
PMID: 29507854 [PubMed]