Hosting 718 files, 2916 images, and 4 contributors.

 
Random Case

Osteosarcoma
Joseph Junewick, MD FACR
over 6 years ago
Enter A Workflow
Standard2   Academic2

Please choose a workflow. A standard workflow allows you to browse the repository with full case detail; the academic workflow allows you to browse the repository with limited case detail revealed. Double click on the images to launch image viewer.

ARSt Case Repository

B-Cell Lymphoma

Case Detail

Anatomy: Brain-Spine
Junewick
Joseph Junewick, MD FACR
Diagnostic Category: Neoplasia Malignant
Created: over 3 years ago
Updated: 11 months ago
Tags: PEDS
Modality/Study Types: MR
Activities:
Adobe32 PDF Imagej32 ImageJA

History

Teenage female with lower extremity weakness and frequent falls.


Case Images


Diagnosis

B-Cell Lymphoma

Findings

MR – Sagittal T2, STIR and post-gadolinium T1 images of the thoracic spine shows multilevel extradural compression of the thecal sac and cord edema but normal vertebrae.

Discussion

Extranodal presentation can be found in 25–30% of patients with lymphoma, although epidural presentation is relatively rare. The extranodal lymphoma can be found at any age, however it is most common in late adulthood. Intraspinal lymphoma spreads from adjacent nodes through the intervertebral foramina or may reach the epidural space from the vertebral body; months may pass before the development of pain or spinal cord compression. Lymphoma is most commonly present in the mid-thoracic and lower lumbar segments.

Reference

Szekely G, Miltenyi Z, Mezey G, et al. Epidural malignant lymphomas of the spine: collected experiences with epidural malignant lymphomas of the spinal canal and their treatment. Spinal Cord (2008) 46, 278–281.



Corporate Office: 616.363.7272, 3264 North Evergreen Drive, Grand Rapids, MI 49525

Spectrum Health Helen Devos Childrens Hospital GE HealthCare