Primary Isolated Spinal Hodgkin’s Lymphoma with Rapidly Progressive Neurodeficit: A Case Report
Journal Title: Kerala Journal of Orthopaedics - Year 2018, Vol 0, Issue 0
Abstract
Introduction: Primary spinal lymphoma is a rare form of extra nodal lymphoma. Spinal cord compression is a rare complication of Hodgkin’s disease, occurring in only 5% of cases, usually in the setting of progressive, advanced disease.1 As the initial symptom of Hodgkin’s disease, it is extremely rare, with only a few cases reported in the literature. We present a case of a 60-year-old male patient with primary thoracic epidural lymphoma who presented with rapidly progressive neurological deficit. MRI and PET revealed an extradural mass compresing the spina; cord, arising from body and posterior elements of D4. Patient was treated with an early decompression surgery and Histology showed it to be a Hodgkin’s lymphoma. Patient gradually recovered from the neurodeficit and is undergoing chemotherapy under the guidance of a medical oncologist.Patient is walking independently without support at 3 months followup. Conclusion: To summarise, even though very rare, spinal hodgkins lymphoma is a possibility. This extra nodal variant can progress rapidly and lead to devastating neurological complications if not intervened early. Chemotherapy and radiotherapy are often both needed post operatively for this type of lymphoma. Early decompression leads to good neurological outcome.
Authors and Affiliations
Shailesh Hadgaonkar, Ashish Yadav, Satish Rohra, Ketan Khurjekar, Ajay Kothari, Parag K Sancheti, Ashok Shyam
Keywords
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