Subject(s)
Ophthalmoplegia/complications , Pseudotumor Cerebri/complications , Acetazolamide/therapeutic use , Adult , Dexamethasone/therapeutic use , Female , Humans , Ophthalmoplegia/drug therapy , Ophthalmoplegia/physiopathology , Pseudotumor Cerebri/drug therapy , Pseudotumor Cerebri/physiopathologyABSTRACT
A case of syringomyelia involving the entire spinal cord secondary to a spinal intramedullary tumour is described. Cerebrospinal fluid cytology and microscopic evaluation of gross necropsy specimens revealed a primary large cell lymphoma of the central nervous system. In addition there was massive leptomenigeal lymphomatosis involving the cortex, brainstem, and cerebellum. No solitary intracranial mass lesion was found.
Subject(s)
Lymphoma/complications , Spinal Cord Neoplasms/complications , Syringomyelia/etiology , Adult , Cerebrospinal Fluid Proteins/analysis , Female , Humans , Lymphoma/cerebrospinal fluid , Lymphoma/pathology , Spinal Cord Neoplasms/cerebrospinal fluid , Spinal Cord Neoplasms/pathology , Syringomyelia/cerebrospinal fluid , Syringomyelia/pathologyABSTRACT
A patient with adenocarcinoma in the apical portion of the lung producing a Pancoast's syndrome developed torticollis a few months after receiving a course of radiation therapy (5,040 rad) to his upper chest and neck. We describe this case, in which local radiation fibrosis of the neck muscles and perhaps segmental demyelination of the 11th cranial nerve resulted in peripheral nervous system lesion causing torticollis.
