When We Consider Neurolymphomatosis in Patient with Lumbosacral Plexopathy with an Extreme Leg Pain?When We Consider Neurolymphomatosis in Patient with Lumbosacral Plexopathy with an Extreme Leg Pain?
- Other Titles
- When We Consider Neurolymphomatosis in Patient with Lumbosacral Plexopathy with an Extreme Leg Pain?
- Authors
- 안준영; 석현; 김상현; 김현정; 조연희; 오백민; 이승열
- Issue Date
- Jun-2021
- Publisher
- 대한임상통증학회
- Keywords
- Neurolymphomatosis; Lumbosacral plexus; PET-CT
- Citation
- Clinical Pain, v.20, no.1, pp 53 - 58
- Pages
- 6
- Journal Title
- Clinical Pain
- Volume
- 20
- Number
- 1
- Start Page
- 53
- End Page
- 58
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/21091
- DOI
- 10.35827/cp.2021.20.1.53
- ISSN
- 1598-5490
- Abstract
- We report a case of neurolymphomatosis of lumbosacral plexus. A 63-year-old man, who had no past history except for diabetes mellitus, complained of severe pain and weakness on left lower extremity. Idiopathic lumbosacral plexopathy was diagnosed by electromyography. There were no abnormal findings except for FDG-PET/CT and MRI. They showed high uptake and thickening lesion in sciatic nerve and sacral plexus. However, about 7 months later, mass like lesion in left thigh was detected by FDG-PET/CT and MRI. Also, multiple hypermetabolic lesions were found in brain. Through brain biopsy, diffuse large B-cell lymphoma was confirmed. When a patient with idiopathic lumbosacral plexopathy complains of severe pain, it is necessary to consider FDG-PET/CT and MRI to differentiate neurolymphomatosis, even in patients who have no past history of lymphoma before. Especially, if FDG-PET/CT and MRI show sciatic and/or lumbosacral plexus lesion, neurolymphomatosis of lumbosacral plexus should be considered.
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Collections - College of Medicine > Department of Physical Medicine and Rehabilitation > 1. Journal Articles
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