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논문KCI 등재

열공경색으로 오인된 원발중추신경계림프종

Primary Central Nervous System Lymphoma Mimicking Lacunar Infarction

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초록

Ischemic stroke is a medical emergency that requires precise diagnosis and prompt treatment. Nonetheless, it is essential to evaluate alternative conditions, such as seizure, peripheral neuropathy and malignancy, with special attention to lymphoma due to its variable clinical manifestations, imaging features, and prognosis. In this report, we present a case of a patient who initially exhibited symptoms and radiological findings considered as lacunar stroke but was ultimately diagnosed with diffuse large B cell lymphoma.

Abstract

Ischemic stroke is a medical emergency that requires precise diagnosis and prompt treatment. Nonetheless, it is essential to evaluate alternative conditions, such as seizure, peripheral neuropathy and malignancy, with special attention to lymphoma due to its variable clinical manifestations, imaging features, and prognosis. In this report, we present a case of a patient who initially exhibited symptoms and radiological findings considered as lacunar stroke but was ultimately diagnosed with diffuse large B cell lymphoma.

참고문헌 (10)

  1. Powers WJ, "Acute ischemic stroke", N Engl J Med, 383, pp.252~260 (2020)
  2. Powers WJ, "Guidelines for the early management of patients with acute ischemic stroke : 2019 update to the 2018 guidelines for the early management of acute ischemic stroke : a guideline for healthcare professionals from the American Heart Association", American Stroke Association, 2019, pp.50, e344~e418
  3. Buck BH, "Stroke mimics : incidence, aetiology, clinical features and treatment", Ann Med, 53, pp.420~436 (2021)
  4. Haldorsen IS, "Central nervous system lymphoma : characteristic findings on traditional and advanced imaging", AJNR Am J Neuroradiol, 32, pp.984~992 (2011)
  5. DeRon N Jr, "A rare presentation of primary central nervous system lymphoma in an immunocompetent patient", Cureus, 14, pp.23858~ (2022)
  6. Karonen JO, "Evolution of MR contrast enhancement patterns during the first week after acute ischemic stroke", AJNR Am J Neuroradiol, 22, pp.103~111 (2001)
  7. Bühring U, "MRI features of primary central nervous system lymphomas at presentation", Neurology, 57, pp.393~396 (2001)
  8. Maier SE, "Diffusion imaging of brain tumors", NMR Biomed, 23, pp.849~864 (2010)
  9. Jain S, "Diffuse large B-cell non-Hodgkin lymphoma mimicking stroke : a case report", J Stroke Med, 2, pp.150~154 (2019)
  10. Kim JM, "Stroke mimicking encephalopathy as an initial manifestation of diffuse large B-cell lymphoma", J Clin Neurol, 5, pp.97~100 (2009)

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