Evaluation and Treatment of Primary Spinal Epidural Lymphoma Presenting as Acute Myelopathy in a Young Adult: A Case Report.
Citation: Jbjs Case Connector. 13(3), 2023 07 01.PMID: 37590426Institution: MedStar Southern Maryland HospitalDepartment: MedStar Georgetown University Hospital/MedStar Washington Hospital Center | Orthopaedic Surgery ResidencyForm of publication: Journal ArticleMedline article type(s): Case Reports | Journal ArticleSubject headings: *Bone Marrow Diseases | *Lymphoma, Large B-Cell, Diffuse | *Musculoskeletal Diseases | *Spinal Cord Compression | *Spinal Cord Diseases | Adult | Humans | Lymphoma, Large B-Cell, Diffuse/co [Complications] | Lymphoma, Large B-Cell, Diffuse/dg [Diagnostic Imaging] | Male | Spinal Cord Compression/dg [Diagnostic Imaging] | Spinal Cord Compression/et [Etiology] | Spinal Cord Compression/su [Surgery] | Young Adult | Year: 2023ISSN:- 2160-3251
- Carroll, Austin H:
- https://orcid.org/0000-0002-6306-7515 Cowley, R Adams:
- https://orcid.org/0000-0003-0996-5223
Item type | Current library | Collection | Call number | Status | Date due | Barcode |
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Journal Article | MedStar Authors Catalog | Article | 37590426 | Available | 37590426 |
CASE: Primary spinal epidural lymphoma (PSEL) presenting as myelopathy is extremely rare, particularly within young, healthy adults. This case report describes a 26-year-old man presenting with progressive thoracic myelopathy. Magnetic resonance imaging revealed spinal epidural masses spanning T5-T10 and T12-L2 with multilevel cord compression and edema. After evaluation, the patient underwent emergent posterior decompression to prevent progressive neurological decline. Histology was consistent with diffuse large B-cell lymphoma, germinal center type. At 3 months postoperatively, the patient regained full neurologic function.
CONCLUSION: Although rare, PSELs should be considered in patients presenting with myelopathy to facilitate timely diagnosis and treatment. Copyright © 2023 by The Journal of Bone and Joint Surgery, Incorporated.
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