阴性MRI迷宫炎作为快速发展的中枢神经系统原发性脑脊柱角淋巴瘤的前体
Elizabeth S Longino1, Nathan R Lindquist1, Nathan D Cass1
1Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, TN.
Otology & neurotology open
|March 22, 2024
概括
主要中枢神经系统淋巴瘤 (PCNSL) 可以模仿HIV阳性患者的迷宫炎. 在这种情况下,早期考虑PCNSL对于及时诊断和治疗至关重要.
科学领域:
- 神经瘤学神经瘤学
- 传染病 传染病 传染病
- 神经学 神经学
背景情况:
- 初级中枢神经系统淋巴瘤 (PCNSL) 在HIV阳性个体中罕见.
- 大脑角 (CPA) 病变是PCNSL的一种不常见的表现.
- 最初的症状可以模仿外周前置障碍.
研究的目的:
- 报告一种罕见的PCNSL病例,在HIV阳性患者中呈现为迷宫炎.
- 突出诊断挑战和早期识别的重要性.
主要方法:
- 一个58岁的HIV阳性男性的病例报告.
- 临床表现,前庭检测和连续MRI成像.
- 大脑脊髓液 (CSF) 流量细胞计和细胞学.
主要成果:
- 最初的呈现模仿了带负MRI的迷宫炎.
- 快速进展导致多种神经病变.
- 重复的MRI显示了大量的CPA/IAC质量,与PCNSL一致.
结论:
- 在非典型迷宫炎症状的HIV阳性患者中应考虑PCNSL.
- 密切监测和早期重复成像对于诊断至关重要.
- 及时诊断和治疗对于管理PCNSL至关重要.
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