Neurolymphomatosis is the direct endoneurial infiltration of lymphoma cells. Bone marrow biopsy is a widely practiced procedure that is generally considered to be relatively safe. However, bone marrow biopsy can also result in pain and long-term consequences such as nerve injury. Here we report a case of a 68-year-old male who presented with lumbosacral plexopathy due to neurolymphomatosis that was superimposed on a probable traumatic lumbosacral plexopathy mostly involving the sciatic nerve immediately after a bone marrow biopsy.
Neurolymphomatosis (NL) is characterized by the infiltration of malignant lymphoma cells into peripheral nerves, nerve roots, plexuses, or cranial nerves. This is a very rare complication of mantle-cell lymphoma. Diagnosing NL is made difficult by cerebrospinal fluid cytology and bone-marrow biopsy results often being negative. NL can appear as the only sign of recurrence in a patient with a previous diagnosis of lymphoma. Here we present two cases of NL in patients with mantle-cell lymphoma diagnosed by positron emission tomography with deoxy-fluoro-D-glucose integrated with computed tomography.
Yong-Shik Park, Bum Chun Suh, Yong Bum Kim, Pil-Wook Chung, Heui-Soo Moon, Won Tae Yoon, Bong-Je Kim, Byung-Suk Yoon, Yong-Gyun Jung, Ha-Neul Jeong, Kun-Hyun Kim
Neurolymphomatosis is a complication of lymphoma and initial presentation of cranial nerve involvement has been rarelyreported. We describe a patient with neurolymphomatosis who presented as facial palsy mimicking steroid responsive Bell