Atypical cauda equina presentation of an extranodal nasal type NK/T cell lymphoma: a case report

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dc.contributor.authorRodríguez-Hernández, Pablo Andrés
dc.contributor.authorGil-Duran, Melissa
dc.contributor.authorRiveros-Loaiza, Laura María
dc.contributor.authorMiranda-Acosta, Yeiris
dc.contributor.authorRomero-Rojas, Alfredo Ernesto
dc.contributor.authorTorres-Bayona, Sergio
dc.date.accessioned2021-06-23T21:09:10Z
dc.date.available2021-06-23T21:09:10Z
dc.date.issued2021-09
dc.description.abstractenglishBackground Extranodal NK/T-cell nasal type lymphoma, is an uncommon subtype of non-Hodgkin’s lymphoma. It is mostly located in the nasal cavity, but in some cases can be found outside of it. The central nervous system (CNS) is a rare site of primary or progression of this lymphoma. Only one similar case of cauda equina syndrome had been reported previously in a postmortem patient. Patients with this type of lymphoma have a poor prognosis and some authors have described a median overall survival of 8.5 months from diagnosis (range 3.8–24 months from CNS involvement). Case report We report a case of a 38-year-old female with diagnosis of extranodal NK/T-cell nasal lymphoma. After radiotherapy and chemotherapy, she was admitted to the emergency room presenting neurologic impairment in the limbs (2/5 in MRC grading scale). Brain neuroimaging did not show any abnormality and lumbar puncture was not possible despite multiple attempts. Thoracolumbar imaging showed an involvement of the cauda equina and intraoperative findings revealed thickening and swelling of the nerve roots confirming an infiltration by lymphoma in the pathology. To date, our patient has an overall survival of 18 months from diagnosis of lymphoma and 7 months from peripheral nervous system involvement (actually 5/5 in MRC grading scale). Conclusions In this particular case, the surgery goal was to obtain a diagnosis to guide treatment but not to relieve symptoms. We considered its diffusion and knowledge as imperative for all practitioners involved in the care of this patient.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1016/j.inat.2021.101213
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.issn2214-7519
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlrepourl:https://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/5901
dc.language.isoeng
dc.publisherElsevierspa
dc.publisher.journalInterdisciplinary Neurosurgeryspa
dc.relation.ispartofseriesInterdisciplinary Neurosurgery, 2214-7519, Vol. 25, 2021spa
dc.relation.urihttps://www.sciencedirect.com/science/article/pii/S2214751921001250
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internacional*
dc.rights.accessrightshttps://purl.org/coar/access_right/c_abf2
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightsAcceso abierto
dc.rights.localAcceso abiertospa
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subject.keywordsExtranodal nasal type NK-T-Cell Lymphomaspa
dc.subject.keywordsPeripheral Nervous Systemspa
dc.subject.keywordsCauda Equina Sydromespa
dc.titleAtypical cauda equina presentation of an extranodal nasal type NK/T cell lymphoma: a case reportspa
dc.title.translatedAtypical cauda equina presentation of an extranodal nasal type NK/T cell lymphoma: a case reportspa
dc.type.coarhttps://purl.org/coar/resource_type/c_6501
dc.type.driverinfo:eu-repo/semantics/article
dc.type.hasversioninfo:eu-repo/semantics/publishedVersion
dc.type.localArtículo de revista

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