Primary Epidural Lymphoblastic Lymphoma Presented with Unsteady Gait: A Case Report | Abstract

International Journal of Medical Research & Health Sciences (IJMRHS)
ISSN: 2319-5886 Indexed in: ESCI (Thomson Reuters)


Primary Epidural Lymphoblastic Lymphoma Presented with Unsteady Gait: A Case Report

Author(s):Waleed Mohammed Awwad and Fahad Abdullah Al Shayhan*

Background: Epidural involvement in non-Hodgkin’s lymphoma is not a classical presentation. Limited cases were reported with B-lineage Lymphoblastic Lymphoma (B-LBL). Patients develop an acute onset of neurological symptoms preceded by vague back pain. Case presentation: A 6 years old male presented with unsteady gait and bilateral foot numbness for 3 days. Acute onset of paraplegia was noticed after 2 days from admission. MRI showed large anterior paravertebral and posterior mediastinal soft tissue mass at thoracic spine causing severe spinal cord compression. The patient underwent decompressive laminectomy and received chemotherapy as per the protocol of AALL0232. Two months follow up patient exhibited partial neurological recovery. Conclusion: Vague back pain or gait disturbance, hence posterior spinal column functional disturbance, full neurological examination, and medical imaging must be carried on without delay. Once a space occupation lesion with a progressive neurological deficit is identified, urgent surgical management must be undertaken to preserve remaining function and aid for the best functional recovery.

Select your language of interest to view the total content in your interested language

Scope Categories
  • Clinical Research
  • Epidemiology
  • Oncology
  • Biomedicine
  • Dentistry
  • Medical Education
  • Physiotherapy
  • Pulmonology
  • Nephrology
  • Gynaecology
  • Dermatology
  • Dermatoepidemiology
  • Otorhinolaryngology
  • Ophthalmology
  • Sexology
  • Osteology
  • Kinesiology
  • Neuroscience
  • Haematology
  • Psychology
  • Paediatrics
  • Angiology/Vascular Medicine
  • Critical care Medicine
  • Cardiology
  • Endocrinology
  • Gastroenterology
  • Infectious Diseases and Vaccinology
  • Hepatology
  • Geriatric Medicine
  • Bariatrics
  • Pharmacy and Nursing
  • Pharmacognosy and Phytochemistry
  • Radiobiology
  • Pharmacology
  • Toxicology
  • Clinical immunology
  • Clinical and Hospital Pharmacy
  • Cell Biology
  • Genomics and Proteomics
  • Pharmacogenomics
  • Bioinformatics and Biotechnology