Primary Intramedullary Spinal-Cord Lymphoma (Piscl): A Rare Entity With A Challenging Diagnosis
BMJ CASE REPORTS(2021)
Abstract
Primary intramedullary spinal-cord lymphoma (PISCL) is a rare cause of myelopathy and constitutes only 1% of central nervous system lymphomas. Delay to diagnosis is common due to its rarity, its similarity to other causes of myelopathy and the difficulties in obtaining pathological diagnosis. We report a case of PISCL and discuss the challenges faced on diagnosis, namely the impact of corticosteroids on histological findings, the usefulness of MRI, positron-emission tomography/CT (PET/CT) and repeated lumbar punctures.
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Key words
neuroimaging, neurooncology, spinal cord, pathology, haematology (incl blood transfusion)
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