Painless progressive mononeuritis multiplex secondary to AML associated neuroleukemiosis
Neuroleukemiosis describes peripheral nerve involvement secondary to leukemic infiltration, a rare complication of leukemia with various clinical presentations, leading to diagnostic challenges for hematologists and neurologists. We present two cases of painless progressive mononeuritis multiplex se...
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Veröffentlicht in: | Journal of neuroimmunology 2023-04, Vol.377, p.578061-578061, Article 578061 |
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container_title | Journal of neuroimmunology |
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creator | Nagaratnam, Sai Harinesan, Nimalan Wijesinghe, Rajiv Wong-Doo, Nicole Lyons, Alison Morris, Katrina Triplett, James |
description | Neuroleukemiosis describes peripheral nerve involvement secondary to leukemic infiltration, a rare complication of leukemia with various clinical presentations, leading to diagnostic challenges for hematologists and neurologists. We present two cases of painless progressive mononeuritis multiplex secondary to neuroleukemiosis. A literature review of previously reported cases of neuroleukemiosis was undertaken. Neuroleukemiosis may present as a progressive mononeuritis multiplex. The diagnosis of neuroleukemiosis requires a high index of suspicion and be aided by repeated CSF analysis.
•Neuroleukemiosis describes the leukemic infiltration of peripheral nerves.•Presentations include painless mono-neuropathies, formations of a chloroma and painful radiculoplexopathies.•Tissue sampling through nerve biopsy remains the gold standard for diagnosis though yield can be limited.•Neuroleukemiosis tends to portend a poor prognosis. |
doi_str_mv | 10.1016/j.jneuroim.2023.578061 |
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•Neuroleukemiosis describes the leukemic infiltration of peripheral nerves.•Presentations include painless mono-neuropathies, formations of a chloroma and painful radiculoplexopathies.•Tissue sampling through nerve biopsy remains the gold standard for diagnosis though yield can be limited.•Neuroleukemiosis tends to portend a poor prognosis.</description><identifier>ISSN: 0165-5728</identifier><identifier>EISSN: 1872-8421</identifier><identifier>DOI: 10.1016/j.jneuroim.2023.578061</identifier><identifier>PMID: 36898304</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Humans ; Leukemia ; Leukemia, Myeloid, Acute - complications ; Leukemic Infiltration - complications ; Mononeuritis multiplex ; Mononeuropathies - complications ; Mononeuropathies - diagnosis ; Neuroleukemiosis ; Neuropathy ; Peripheral Nerves</subject><ispartof>Journal of neuroimmunology, 2023-04, Vol.377, p.578061-578061, Article 578061</ispartof><rights>2023</rights><rights>Crown Copyright © 2023. Published by Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c315t-70fe8c014fca2156e71126d1646b1265db2433967e0e9eb1b079ca49ccb1a62a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jneuroim.2023.578061$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36898304$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nagaratnam, Sai</creatorcontrib><creatorcontrib>Harinesan, Nimalan</creatorcontrib><creatorcontrib>Wijesinghe, Rajiv</creatorcontrib><creatorcontrib>Wong-Doo, Nicole</creatorcontrib><creatorcontrib>Lyons, Alison</creatorcontrib><creatorcontrib>Morris, Katrina</creatorcontrib><creatorcontrib>Triplett, James</creatorcontrib><title>Painless progressive mononeuritis multiplex secondary to AML associated neuroleukemiosis</title><title>Journal of neuroimmunology</title><addtitle>J Neuroimmunol</addtitle><description>Neuroleukemiosis describes peripheral nerve involvement secondary to leukemic infiltration, a rare complication of leukemia with various clinical presentations, leading to diagnostic challenges for hematologists and neurologists. We present two cases of painless progressive mononeuritis multiplex secondary to neuroleukemiosis. A literature review of previously reported cases of neuroleukemiosis was undertaken. Neuroleukemiosis may present as a progressive mononeuritis multiplex. The diagnosis of neuroleukemiosis requires a high index of suspicion and be aided by repeated CSF analysis.
•Neuroleukemiosis describes the leukemic infiltration of peripheral nerves.•Presentations include painless mono-neuropathies, formations of a chloroma and painful radiculoplexopathies.•Tissue sampling through nerve biopsy remains the gold standard for diagnosis though yield can be limited.•Neuroleukemiosis tends to portend a poor prognosis.</description><subject>Humans</subject><subject>Leukemia</subject><subject>Leukemia, Myeloid, Acute - complications</subject><subject>Leukemic Infiltration - complications</subject><subject>Mononeuritis multiplex</subject><subject>Mononeuropathies - complications</subject><subject>Mononeuropathies - diagnosis</subject><subject>Neuroleukemiosis</subject><subject>Neuropathy</subject><subject>Peripheral Nerves</subject><issn>0165-5728</issn><issn>1872-8421</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkD1PwzAQhi0EoqXwF6qMLCk-J3GSjariSyqCASQ2y3GuyCWJiy9B8O9xaWFluhue-3gfxqbAZ8BBXqxn6w4H72w7E1wksywvuIQDNoYiF3GRCjhk4wBmcZaLYsROiNacQ5ak5TEbJbIoi4SnY_byqG3XIFG08e7Vh8Z-YNS6zm3X295S1A5NbzcNfkaExnW19l9R76L5_TLSRM5Y3WMd_XzT4PCGrXVk6ZQdrXRDeLavE_Z8ffW0uI2XDzd3i_kyNglkfZzzFRaGQ7oyWkAmMQcQsgaZyio0WV2JNElKmSPHEiuoeF4anZbGVKCl0MmEne_2hv_fB6RetZYMNo3u0A2kRF5I4CKkDajcocY7Io8rtfG2DXEUcLW1qtbq16raWlU7q2Fwur8xVC3Wf2O_GgNwuQMwJP2w6BUZi53B2no0vaqd_e_GNzTZjho</recordid><startdate>20230415</startdate><enddate>20230415</enddate><creator>Nagaratnam, Sai</creator><creator>Harinesan, Nimalan</creator><creator>Wijesinghe, Rajiv</creator><creator>Wong-Doo, Nicole</creator><creator>Lyons, Alison</creator><creator>Morris, Katrina</creator><creator>Triplett, James</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20230415</creationdate><title>Painless progressive mononeuritis multiplex secondary to AML associated neuroleukemiosis</title><author>Nagaratnam, Sai ; Harinesan, Nimalan ; Wijesinghe, Rajiv ; Wong-Doo, Nicole ; Lyons, Alison ; Morris, Katrina ; Triplett, James</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c315t-70fe8c014fca2156e71126d1646b1265db2433967e0e9eb1b079ca49ccb1a62a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Humans</topic><topic>Leukemia</topic><topic>Leukemia, Myeloid, Acute - complications</topic><topic>Leukemic Infiltration - complications</topic><topic>Mononeuritis multiplex</topic><topic>Mononeuropathies - complications</topic><topic>Mononeuropathies - diagnosis</topic><topic>Neuroleukemiosis</topic><topic>Neuropathy</topic><topic>Peripheral Nerves</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nagaratnam, Sai</creatorcontrib><creatorcontrib>Harinesan, Nimalan</creatorcontrib><creatorcontrib>Wijesinghe, Rajiv</creatorcontrib><creatorcontrib>Wong-Doo, Nicole</creatorcontrib><creatorcontrib>Lyons, Alison</creatorcontrib><creatorcontrib>Morris, Katrina</creatorcontrib><creatorcontrib>Triplett, James</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of neuroimmunology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nagaratnam, Sai</au><au>Harinesan, Nimalan</au><au>Wijesinghe, Rajiv</au><au>Wong-Doo, Nicole</au><au>Lyons, Alison</au><au>Morris, Katrina</au><au>Triplett, James</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Painless progressive mononeuritis multiplex secondary to AML associated neuroleukemiosis</atitle><jtitle>Journal of neuroimmunology</jtitle><addtitle>J Neuroimmunol</addtitle><date>2023-04-15</date><risdate>2023</risdate><volume>377</volume><spage>578061</spage><epage>578061</epage><pages>578061-578061</pages><artnum>578061</artnum><issn>0165-5728</issn><eissn>1872-8421</eissn><abstract>Neuroleukemiosis describes peripheral nerve involvement secondary to leukemic infiltration, a rare complication of leukemia with various clinical presentations, leading to diagnostic challenges for hematologists and neurologists. We present two cases of painless progressive mononeuritis multiplex secondary to neuroleukemiosis. A literature review of previously reported cases of neuroleukemiosis was undertaken. Neuroleukemiosis may present as a progressive mononeuritis multiplex. The diagnosis of neuroleukemiosis requires a high index of suspicion and be aided by repeated CSF analysis.
•Neuroleukemiosis describes the leukemic infiltration of peripheral nerves.•Presentations include painless mono-neuropathies, formations of a chloroma and painful radiculoplexopathies.•Tissue sampling through nerve biopsy remains the gold standard for diagnosis though yield can be limited.•Neuroleukemiosis tends to portend a poor prognosis.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>36898304</pmid><doi>10.1016/j.jneuroim.2023.578061</doi><tpages>1</tpages></addata></record> |
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subjects | Humans Leukemia Leukemia, Myeloid, Acute - complications Leukemic Infiltration - complications Mononeuritis multiplex Mononeuropathies - complications Mononeuropathies - diagnosis Neuroleukemiosis Neuropathy Peripheral Nerves |
title | Painless progressive mononeuritis multiplex secondary to AML associated neuroleukemiosis |
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