Primary Cervical Intramedullary Lymphoma: A Case Report

Sameh Achoura, Mohamed AMINE Rachdi, Rahma Yaiche, Mohamed Déhmani Yedaes, Hichem Ammar and Ridha Chikili
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Sameh Achoura: University Tunis El Manar, Tunisia
Mohamed AMINE Rachdi: University Tunis El Manar, Tunisia
Rahma Yaiche: University Tunis El Manar, Tunisia
Mohamed Déhmani Yedaes: University Tunis El Manar, Tunisia
Hichem Ammar: University Tunis El Manar, Tunisia
Ridha Chikili: University Tunis El Manar, Tunisia

International Journal of Research and Scientific Innovation, 2024, vol. 11, issue 8, 851-856

Abstract: Primary non-Hodgkin’s lymphomas of the central nervous system represent 1.5% of all neuraxial tumors. Intramedullary localizations are very rare. We report the case of primary intramedullary lymphoma. The patient was a 46-year-old man with no previous history of lymphoma. He was admitted to our department with walking difficulties, heaviness in all four limbs, spinal claudication, and vesico-sphincter problems such as urinary leakage, which had been present for 6 months. The examination revealed spastic tetraparesis, a quadri-pyramidal syndrome, and cervical spinal syndrome. A spinal cord MRI showed an encapsulated intramedullary tumor extending from C4 to C6. The patient underwent surgical excision, and the pathological examination concluded in favor of a small cell lymphoma type B. The patient was subsequently treated with chemotherapy and adjuvant radio therapy with good progression.

Date: 2024
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