Neurolymphomatosis: A report of 2 cases representing opposite ends of the clinical spectrum

Rajat Lahoria, P. James B Dyck, William R. Macon, Brian A. Crum, Robert J. Spinner, Kimberly K. Amrami, Steven R. Zeldenrust, Jennifer A. Tracy

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

Introduction: Neurolymphomatosis (NL) is a rare disorder characterized by invasion of cranial or peripheral nerves, nerve roots, or plexi, usually by aggressive subtypes of non-Hodgkin lymphoma (NHL). The most common clinical presentation is that of a painful polyneuropathy or polyradiculopathy, followed by cranial neuropathy and, less frequently, by painless polyneuropathy. Methods: Clinical and pathologic findings are reported for 2 NL cases. Results: The following 2 patients with NL, with disparate clinical presentations, are presented: a patient with subacute onset, painful, multifocal, mixed axonal and demyelinating radiculoplexus neuropathy due to a large B-cell NHL, who required 2 targeted fascicular nerve biopsies to demonstrate NL; and a patient with a slowly progressive, length-dependent axonal polyneuropathy due to a low-grade B-cell lymphoproliferative disorder, as shown on a diagnostic sural nerve biopsy. Conclusions: The cases described illustrate the wide clinical spectrum of NL.

Original languageEnglish (US)
Pages (from-to)449-454
Number of pages6
JournalMuscle and Nerve
Volume52
Issue number3
DOIs
StatePublished - Sep 1 2015

Keywords

  • Lymphoproliferative disorder
  • Neurolymphomatosis
  • Neuropathy
  • Non-Hodgkin lymphoma
  • Radiculoneuropathy

ASJC Scopus subject areas

  • Clinical Neurology
  • Cellular and Molecular Neuroscience
  • Physiology (medical)
  • Physiology

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    Lahoria, R., Dyck, P. J. B., Macon, W. R., Crum, B. A., Spinner, R. J., Amrami, K. K., Zeldenrust, S. R., & Tracy, J. A. (2015). Neurolymphomatosis: A report of 2 cases representing opposite ends of the clinical spectrum. Muscle and Nerve, 52(3), 449-454. https://doi.org/10.1002/mus.24646