Kim JM, Jung KH, Lee ST, Park HK, Chu K, Roh JK. Stroke mimicking encephalopathy as an initial manifestation of diffuse large B-cell lymphoma.
J Clin Neurol 2009;
5:97-100. [PMID:
19587818 PMCID:
PMC2706419 DOI:
10.3988/jcn.2009.5.2.97]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2008] [Revised: 02/02/2009] [Accepted: 02/02/2009] [Indexed: 11/23/2022] Open
Abstract
Background
Systemic lymphoma can be difficult to recognize due to its diverse manifestations. Paraneoplastic leukoencephalopathy has rarely been reported in the context of lymphoma.
Case Report
We report a 45-year-old man with systemic lymphoma whose initial manifestation was sudden-onset leukoencephalopathy, mimicking stroke. This patient, who was eventually diagnosed with diffuse large B-cell lymphoma, initially presented with sudden cognitive impairment and gait disturbance. Radiological studies suggested a paraneoplastic leukoencephalopathy. Chemotherapy for lymphoma resulted in clinical and radiological improvement.
Conclusions
The presented case indicates that diffuse large B-cell lymphoma may initially appear as a treatable leukoencephalopathy.
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