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Lumbosacral plexopathy due to neurolymphomatosis superimposed on traumatic nerve injury

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초록

Neurolymphomatosis is the direct endoneurial infiltration of lymphoma cells. Bone marrow biopsy is a widely practiced procedure that is generally considered to be relatively safe. However, bone marrow biopsy can also result in pain and long-term consequences such as nerve injury. Here we report a case of a 68-year-old male who presented with lumbosacral plexopathy due to neurolymphomatosis that was superimposed on a probable traumatic lumbosacral plexopathy mostly involving the sciatic nerve immediately after a bone marrow biopsy.

Abstract

Neurolymphomatosis is the direct endoneurial infiltration of lymphoma cells. Bone marrow biopsy is a widely practiced procedure that is generally considered to be relatively safe. However, bone marrow biopsy can also result in pain and long-term consequences such as nerve injury. Here we report a case of a 68-year-old male who presented with lumbosacral plexopathy due to neurolymphomatosis that was superimposed on a probable traumatic lumbosacral plexopathy mostly involving the sciatic nerve immediately after a bone marrow biopsy.

참고문헌 (10)

  1. Nam TW, "An unusual complication of sacral nerve root injury following bone marrow harvesting : a case report", BMC Cancer, 19, pp.347~ (2019)
  2. Stavrakakis IM, "Sciatic nerve palsy due to a superior gluteal artery pseudoaneurysm postbone marrow biopsy : a case report and review of the literature", J Orthop Case Rep, 8, pp.74~77 (2018)
  3. Irving I, "Sciatic nerve compression following bone marrow harvest", Bone Marrow Transplant, 26, pp.705~706 (2000)
  4. Bourque PR, "Neurolymphomatosis of the lumbosacral plexus and its branches : case series and literature review", BMC Cancer, 19, pp.1149~ (2019)
  5. Fowler N, "Needle tract seeding after bone marrow biopsy in non-Hodgkin lymphoma", Leuk Lymphoma, 49, pp.156~158 (2008)
  6. Hopkins E, "Subcutaneous seeding of ‘double hit’ diffuse large B-cell lymphoma from staging bone marrow biopsy", Br J Haematol, 166, pp.635~ (2014)
  7. Ginaldi S, "Seeding of malignant lymphoma along the tract after bone marrow biopsy", South Med J, 78, pp.1007~1008 (1985)
  8. Baehring JM, "Diagnosis and management of neurolymphomatosis", Cancer J, 18, pp.463~468 (2012)
  9. Baehring JM, "Neurolymphomatosis", Neuro Oncol, 5, pp.104~115 (2003)
  10. DeVries AH, "B-cell peripheral neurolymphomatosis : MRI and 18F-FDG PET", CT imaging characteristics, 2019, pp.48, 1043~1050

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