神经淋巴瘤二次性至初级中枢神经系统淋巴瘤:一个说明案例
Hirofumi Asano1, Keishi Horiguchi1, Chinatsu Kakinuma1
1Department of Neurosurgery, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.
Journal of neurosurgery. Case lessons
|July 1, 2024
概括
神经淋巴瘤 (NL) 是一种罕见的淋巴瘤神经入侵,它带来了诊断挑战. 这一案例突出了[18F]氧葡萄糖-正子发射断层扫描 (FDG-PET) 的实用性和高剂量的甲醇.
科学领域:
- 神经学 神经学
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
背景情况:
- 神经淋巴瘤瘤 (NL) 是一种罕见的疾病,涉及淋巴瘤侵入神经系统.
- 缺乏NL的既定治疗方案,需要进一步研究.
研究的目的:
- 报告神经淋巴瘤的病例是继发于主性中枢神经系统淋巴瘤的.
- 评估NL的诊断方式和治疗反应.
主要方法:
- 一名患有初级中枢神经系统淋巴瘤的患者出现了暗示NL的症状.
- 诊断工作包括磁共振成像 (MRI) 和[18F]氧葡萄糖-正子发射断层扫描 (FDG-PET).
- 治疗包括内化疗和高剂量甲状腺素治疗.
主要成果:
- FDG-PET揭示了与NL一致的广泛神经干扰.
- 内化疗提供了暂时的症状缓解.
- 高剂量甲状腺素治疗导致FDG吸收的消失,但没有扭转神经学缺陷.
结论:
- FDG-PET是诊断神经淋巴瘤病的一个有价值的工具.
- 高剂量甲状腺素治疗在管理NL方面显示出暂时的疗效.
- 尽管接受了治疗,但该患者经历了持续的神经缺陷和死亡率.
相关概念视频
Primary Lymphoid Organs
9.6K
Primary lymphoid organs are pivotal in the formation, development, and maturation of lymphocytes, the white blood cells that serve as the backbone of our immune system. This crucial function underscores their fundamental role in maintaining our overall health and immunity. The two primary lymphoid organs of prime importance are the red bone marrow and the thymus.
The red bone marrow is a soft, spongy tissue nestled in the interior of long bones such as the humerus and femur. It is the site...
The red bone marrow is a soft, spongy tissue nestled in the interior of long bones such as the humerus and femur. It is the site...
9.6K
Secondary Lymphoid Organs
7.3K
Secondary organs, including lymph nodes, the spleen, and mucosa-associated lymphoid tissue (MALT), work harmoniously to protect us from disease and infection.
The spleen is a vital organ in the lymphatic system, nestled in the upper left side of the abdomen. It is composed of two primary regions: the red pulp and the white pulp, each having distinct functions. The red pulp performs a significant role in blood filtration. It efficiently purges the blood of old or damaged red blood cells and...
The spleen is a vital organ in the lymphatic system, nestled in the upper left side of the abdomen. It is composed of two primary regions: the red pulp and the white pulp, each having distinct functions. The red pulp performs a significant role in blood filtration. It efficiently purges the blood of old or damaged red blood cells and...
7.3K
Development of the Lymphatic System
2.9K
The development of lymphatic tissues and vessels in embryonic life begins around the fifth week. These structures originate from the mesoderm layer, with lymph sacs emerging from developing veins.
The first lymph sacs to form are the paired jugular lymph sacs located at the junction of the internal jugular and subclavian veins. From these sacs, lymphatic capillary plexuses extend to the thorax, upper limbs, neck, and head, eventually forming lymphatic vessels. Each jugular lymph sac maintains a...
The first lymph sacs to form are the paired jugular lymph sacs located at the junction of the internal jugular and subclavian veins. From these sacs, lymphatic capillary plexuses extend to the thorax, upper limbs, neck, and head, eventually forming lymphatic vessels. Each jugular lymph sac maintains a...
2.9K
Multiple Sclerosis l: Introduction
31
Multiple sclerosis is a chronic autoimmune disease of the central nervous system (CNS) that affects the brain, spinal cord, and optic nerves. It is an inflammatory demyelinating disorder and a leading cause of neurological disability in young adults.EpidemiologyMS commonly begins between 20 and 40 years of age and is twice as common in women. Its exact cause remains unclear, but genetic susceptibility contributes, with higher risk in first-degree relatives and identical twins. A greater...
31
Secondary Spinal Cord Injury llI: Pathophysiology
68
Early Ischemia and Ionic ImbalanceWithin minutes of spinal cord injury, a secondary cascade begins, progressing over hours to weeks. Vascular damage reduces blood flow, causing ischemia and mitochondrial dysfunction. ATP depletion leads to ion pump failure, membrane depolarization, sodium influx, potassium efflux, and water accumulation, resulting in cellular swelling. Increased intracellular calcium further disrupts mitochondria and accelerates cellular injury.Excitotoxicity and Neuronal...
68


