Unusual presentation of a primary spinal lymphoma

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Abstract
Wilkening et al 1 described the unusual history of a formerly healthy immunocompetent white woman initially presenting with an S1 syndrome with lymphocytic pleocytosis in the CSF, leading to the misdiagnosis of meningoradiculitis. Repeated spinal MRI disclosed an epidural mass lesion, and histological examination of the tumour biopsy confirmed the diagnosis of primary spinal lymphoma of Burkitt's type. The authors emphasise that in every case with suspected meningoradiculitis including neuroborreliosis, meningeal lymphoma should be considered as an important differential diagnosis. In view of the occasionally difficult diagnosis of primary meningeal lymphoma we briefly present the clinicopathological report of a primary malignant lymphoma with almost selective involvement of the spinal roots: A woman aged 65 years without known systemic …

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