Cervical radiculopathy secondary to Hodgkin's lymphoma
| Autor: | Hisham Al-Khayat, Adnan Sadeq, Haitham Al-Khayat, Ala’ Groof, Osama Al-Baker, Zaki Anas Zarka, Hussein Hayati |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
BEACOPP
Adult Epidural Space medicine.medical_specialty medicine.medical_treatment Drug Therapy Biopsy Medicine Humans Paresthesia Radiculopathy Neck Pain medicine.diagnostic_test Radiotherapy business.industry medicine.disease Hodgkin's lymphoma Spinal cord Hodgkin Disease Magnetic Resonance Imaging Lymphoma Surgery Radiation therapy medicine.anatomical_structure Treatment Outcome ABVD Cervical Vertebrae Female Neurology (clinical) business Spinal Nerve Roots Spinal Canal Chemoradiotherapy medicine.drug |
| Zdroj: | Surgical neurology. 67(5) |
| ISSN: | 0090-3019 |
| Popis: | Background Spinal cord/root compression is a rare complication of HL and usually seen in the setting of progressive, advanced disease. It is extremely rare to occur as an initial presentation of HL. We report a case of HL presented with bilateral cervical radiculopathy. Methods A case report of a 42-year-old woman who presented with C8 cervical radiculopathy and paraspinal mass with extradural extension in C7-T1. Biopsy revealed HL. This case report represents a case of HL presenting with epidural disease, with nerve root compression as the only apparent site of clinical involvement. A review of the literature of patients with HL presenting with spinal cord/root compression is presented. Result Our patient received chemotherapy and external beam radiation therapy. She achieved good recovery of her symptoms and complete response by radiologic criteria. Based on a review of the literature, Hodgkin's disease involving the spinal epidural space is very responsive to chemoradiotherapy with good prognosis for both functional recovery and complete response. Conclusion Chemoradiotherapy is a successful treatment for Hodgkin's disease presenting with spinal root compression. Surgery should be reserved for urgent decompression, if needed; palliation; and maintenance of function and stability. |
| Databáze: | OpenAIRE |
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