A Case of Leptomeningeal Metastasis Presented with Thoracolumbar Radiculopathy

흉요추 신경근병증으로 발현된 수막암종증 1예

  • Min, Ji-Won (Department of Neurology, Kosin University College of Medicine) ;
  • Lee, Ji-Hyun (Department of Neurology, Kosin University College of Medicine) ;
  • Kim, Min-Jung (Department of Neurology, Kosin University College of Medicine) ;
  • Yoo, Bong-Goo (Department of Neurology, Kosin University College of Medicine)
  • 민지원 (고신대학교 의과대학 신경과학교실) ;
  • 이지현 (고신대학교 의과대학 신경과학교실) ;
  • 김민정 (고신대학교 의과대학 신경과학교실) ;
  • 유봉구 (고신대학교 의과대학 신경과학교실)
  • Published : 2005.05.31

Abstract

We report a case of thoracolumbar radiculopathy presented with first symptom of leptomeningeal metastasis. A 65-year old man with non-Hodgkins lymphoma with complete remission was referred for further investigation of dull pain and numbness of right lower quadrant of abdomen. Electromyogram revealed right thoracolumbar radiculopathy. After two weeks, he complained severe continuous bilateral frontal dull headache. An examination of the cerebrospinal fluid revealed malignant lymphoid cells. We would like to emphasize that radiculopathy sometimes presents with first symptom of leptomeningeal metastasis.

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