Primary cauda equina lymphoma treated with high-dose methotrexate

A 69-year-old man presented with a very rare case of primary central nervous system lymphoma originating in the cauda equina manifesting as progressive paraparesis. The patient underwent a biopsy, and was treated with intravenous high-dose (3.5 g/m(2)) methotrexate chemotherapy and local irradiation...

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Veröffentlicht in:Neurologia medico-chirurgica 2012, Vol.52 (9), p.679-683
Hauptverfasser: Iwasaki, Motoyuki, Hida, Kazutoshi, Yano, Shunsuke, Aoyama, Takeshi, Kaneko, Sadahiro, Iwasaki, Yoshinobu
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container_issue 9
container_start_page 679
container_title Neurologia medico-chirurgica
container_volume 52
creator Iwasaki, Motoyuki
Hida, Kazutoshi
Yano, Shunsuke
Aoyama, Takeshi
Kaneko, Sadahiro
Iwasaki, Yoshinobu
description A 69-year-old man presented with a very rare case of primary central nervous system lymphoma originating in the cauda equina manifesting as progressive paraparesis. The patient underwent a biopsy, and was treated with intravenous high-dose (3.5 g/m(2)) methotrexate chemotherapy and local irradiation. Histological study revealed large B cell type lymphoma. Follow-up magnetic resonance imaging showed complete remission of the lesion, but the patient died of pneumonia at 18 months after the initial onset without tumor recurrence, so the efficacy of this strategy remains unknown.
doi_str_mv 10.2176/nmc.52.679
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subjects Aged
Antimetabolites, Antineoplastic - administration & dosage
Antimetabolites, Antineoplastic - therapeutic use
Cauda Equina - pathology
Cauda Equina - surgery
Combined Modality Therapy
Fatal Outcome
Humans
Hypesthesia - etiology
Indexing in process
Laminectomy
Lymphoma, Large B-Cell, Diffuse - complications
Lymphoma, Large B-Cell, Diffuse - drug therapy
Lymphoma, Large B-Cell, Diffuse - radiotherapy
Lymphoma, Large B-Cell, Diffuse - surgery
Magnetic Resonance Imaging
Male
Methotrexate - administration & dosage
Methotrexate - therapeutic use
Paraparesis - etiology
Peripheral Nervous System Neoplasms - complications
Peripheral Nervous System Neoplasms - drug therapy
Peripheral Nervous System Neoplasms - radiotherapy
Peripheral Nervous System Neoplasms - surgery
Pneumonia - complications
Polyradiculopathy - etiology
Radiotherapy, Adjuvant
Remission Induction
title Primary cauda equina lymphoma treated with high-dose methotrexate
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