Chronic lymphocytic leukemia with CNS involvement

Direct involvement of the brain by chronic lymphocytic leukemia (CLL) is extremely rare. This is the second documented case. A 63 year-old-man presented with motor deficits. Conventional radiographic imaging showed no abnormalities but an MRI scan of the head showed a high signal intensity lesion in...

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Veröffentlicht in:Journal of neuro-oncology 1993-04, Vol.16 (1), p.35-37
Hauptverfasser: SURJEET POHAR, DEMETZ, C, POPPEMA, S, HUGH, J
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container_title Journal of neuro-oncology
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creator SURJEET POHAR
DEMETZ, C
POPPEMA, S
HUGH, J
description Direct involvement of the brain by chronic lymphocytic leukemia (CLL) is extremely rare. This is the second documented case. A 63 year-old-man presented with motor deficits. Conventional radiographic imaging showed no abnormalities but an MRI scan of the head showed a high signal intensity lesion in the left cerebellum. Biopsy of this area showed a perivascular infiltrate of small B lymphocytes consistent with CLL involvement. The patient was treated with radiotherapy and had some improvement in symptoms. Three years later he remains alive with some neurologic deficit. This case confirms that CLL can be complicated by direct brain involvement.
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subjects Biological and medical sciences
Brain - pathology
Hematologic and hematopoietic diseases
Humans
Leukemia, Lymphocytic, Chronic, B-Cell - pathology
Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
Leukemic Infiltration
Magnetic Resonance Imaging
Male
Medical sciences
Middle Aged
title Chronic lymphocytic leukemia with CNS involvement
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