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Acute mononeuropathy with angiotropic lymphoma.

C Vital1, A Heraud, A Vital

  • 1Department of Pathology, C.H.U. of Bordeaux, France.

Acta Neuropathologica
|January 1, 1989
PubMed
Summary

Angiotropic lymphoma can manifest as a central nervous system vascular disease. Tumoral cells within blood vessels of the peroneal nerve suggest a B-cell lymphoma origin, mimicking emboli.

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Area of Science:

  • Neurology
  • Oncology
  • Vascular Biology

Background:

  • Angiotropic lymphoma is a rare neoplastic proliferation of lymphocytes within blood vessels.
  • It can present as a vascular disease, particularly affecting the central nervous system.
  • Malignant angioendotheliomatosis is a historical term for this condition, initially described in the skin.

Observation:

  • A patient presented with acute pain in the right superficial peroneal nerve distribution.
  • Nerve biopsy revealed tumoral cells obstructing the lumen of small blood vessels.
  • These findings suggest angiotropic lymphoma affecting the peripheral nervous system.

Findings:

  • Tumoral cells within the vasa nervorum indicate angiotropic lymphoma.
  • The presentation mimics multiple embolic events within the nerve's vascular supply.

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  • Tumoral markers in similar cases confirm a lymphomatous origin, typically B-cell type.

    • Implications:

    • This case highlights angiotropic lymphoma as a potential cause of peripheral nerve pain.
    • Early diagnosis through nerve biopsy is crucial for appropriate treatment.
    • Understanding this vascular manifestation of lymphoma aids in diagnosing and managing neurological complications.