TY - JOUR
T1 - A case of neurolymphomatosis presented as cauda equine syndrome accompanied with M-proteinemia
AU - Konishi, Hirofumi
AU - Taguchi, Yoshiharu
AU - Yamamoto, Mamoru
AU - Nukui, Takamasa
AU - Dougu, Nobuhiro
AU - Nakatsuji, Yuji
N1 - Publisher Copyright:
© 2018 Societas Neurologica Japonica. All rights reserved.
PY - 2018
Y1 - 2018
N2 - A 63-year-old man developed a syndrome of cauda equine, with the numbness which is a left lower extremity from the left buttocks, weakness of left leg, and a dysfunction of bladder and bowel. Enhanced MRI revealed the enhancement of lower cauda equine, and a nerve conduction test revealed decreased F-wave persistency in the tibial nerve and increased F-wave latency in the peroneal nerve on the both sides. M-proteinemia was admitted and myeloma was suspected. By a biopsy of a vertebral arch, we diagnosed with diffuse large B-cell lymphoma. We treated with dexamethasone and R-CHOP (rituximab, cyclophosphamide, hydroxydaunorubicin, oncovin, prednisone (prednisolone)), then the symptom was improved. In case of caude equine syndrome with M-proteinemia, a possibility of the malignant lymphoma should also be considered.
AB - A 63-year-old man developed a syndrome of cauda equine, with the numbness which is a left lower extremity from the left buttocks, weakness of left leg, and a dysfunction of bladder and bowel. Enhanced MRI revealed the enhancement of lower cauda equine, and a nerve conduction test revealed decreased F-wave persistency in the tibial nerve and increased F-wave latency in the peroneal nerve on the both sides. M-proteinemia was admitted and myeloma was suspected. By a biopsy of a vertebral arch, we diagnosed with diffuse large B-cell lymphoma. We treated with dexamethasone and R-CHOP (rituximab, cyclophosphamide, hydroxydaunorubicin, oncovin, prednisone (prednisolone)), then the symptom was improved. In case of caude equine syndrome with M-proteinemia, a possibility of the malignant lymphoma should also be considered.
KW - Cauda equine syndrome
KW - Diffuse large B cell lymphoma
KW - M-proteinemia
KW - Neurolymphomatosis
UR - http://www.scopus.com/inward/record.url?scp=85046453239&partnerID=8YFLogxK
U2 - 10.5692/clinicalneurol.cn-001079
DO - 10.5692/clinicalneurol.cn-001079
M3 - 学術論文
C2 - 29607914
AN - SCOPUS:85046453239
SN - 0009-918X
VL - 58
SP - 223
EP - 228
JO - Clinical Neurology
JF - Clinical Neurology
IS - 4
ER -