Nerve root biopsy in intramedullary spinal cord lymphoma: Technical note and case report Article Swipe
Georgios Α. Maragkos
,
Rouzbeh Motiei-Langroudi
,
Germán Pihán
,
Eric T. Wong
,
Efstathios Papavassiliou
·
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.1016/j.inat.2019.100599
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.1016/j.inat.2019.100599
A case of primary lymphomatosis of the central nervous system, with involvement of the spinal cord and a spinal nerve root is described, where the diagnosis was confirmed by biopsy of the infiltrated nerve root rather than the conus medullaris. A 57-year-old male presented to our clinic due to new-onset left lower extremity weakness. Magnetic resonance imaging revealed an intramedullary enhancing lesion at the T12-L1 level, and a small area of enhancement in a nerve root at the L4 vertebral body level. Clinical, imaging and laboratory investigations showed no evidence of extraspinal lesions, and comprehensive studies including twice-repeated lumbar puncture cytology were non-diagnostic. The patient proceeded with L2-L5 laminectomy for nerve root biopsy. Under microscope view, the involved nerve root was successfully identified and resected. Pathology confirmed the diagnosis of neurolymphomatosis with large B-cell lymphoma. The patient received chemotherapy with complete tumor resolution, one year after surgery. Primary involvement of the spinal cord in malignant lymphoma is rare. Accounting for the high risk of neurologic deficits after conus medullaris or spinal cord biopsy, we demonstrate that biopsy of the affected nerve root can be considered a safer candidate in clinically suitable cases.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1016/j.inat.2019.100599
- OA Status
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- References
- 19
- Related Works
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- OpenAlex ID
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All OpenAlex metadata
Raw OpenAlex JSON
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- DOI
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https://doi.org/10.1016/j.inat.2019.100599Digital Object Identifier
- Title
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Nerve root biopsy in intramedullary spinal cord lymphoma: Technical note and case reportWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2019Year of publication
- Publication date
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2019-10-21Full publication date if available
- Authors
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Georgios Α. Maragkos, Rouzbeh Motiei-Langroudi, Germán Pihán, Eric T. Wong, Efstathios PapavassiliouList of authors in order
- Landing page
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https://doi.org/10.1016/j.inat.2019.100599Publisher landing page
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
- OA URL
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https://doi.org/10.1016/j.inat.2019.100599Direct OA link when available
- Concepts
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Medicine, Conus medullaris, Nerve root, Biopsy, Spinal cord, Laminectomy, Lumbar Nerve, Lumbar, Spinal cord tumor, Pathology, Radiology, Magnetic resonance imaging, Surgery, PsychiatryTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
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19Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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