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Case Reports
. 2007;30(1):70-2.
doi: 10.1080/10790268.2007.11753449.

Spinal cord injury caused by epidural B-cell lymphoma: report of two cases

Affiliations
Case Reports

Spinal cord injury caused by epidural B-cell lymphoma: report of two cases

Anthony Chiodo. J Spinal Cord Med. 2007.

Abstract

Background/objective: Spinal cord injury (SCI) caused by cancer is increasing in incidence as the mean age of our patient population increases. Understanding the prognosis and functional outcome requires knowledge of diseases of the spinal column. This paper presents the unusual presentation of epidural B-cell lymphoma.

Methods: Case reports.

Results: Two patients presented with an unusual cause of SCI, namely B-cell lymphoma. Both patients presented with sensory deficits greater than motor deficits and gait disorder. Both achieved functional independence at the community ambulation level and tumor remission with chemotherapy and radiation therapy.

Conclusions: B-cell epidural tumors are an uncommon cause of SCI. Functional outcome can be quite good, as can tumor outcome. Residual sensory deficits greater than motor deficits are not uncommon.

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Figures

Figure 1
Figure 1. Sagittal view. Note radio-opacity of the T7–T8 and T10–T11 vertebral bodies and the loss of the anterior CSF definition behind those vertebral bodies.
Figure 2
Figure 2. Axial view. Note the irregularity of the vertebral body indicative of tumor involvement.

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