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November 1962

Lymphosarcomatous Infiltration of the Cauda Equina: Myelography in an Unusual Case

Author Affiliations

Present address: American University of Beirut, Republic of Lebanon (Dr. Rahme).; From the Department of Neurology, College of Medicine, University of Iowa, and the Neurology Service of the Veterans Administration Hospital, Iowa City.

Arch Neurol. 1962;7(5):476-481. doi:10.1001/archneur.1962.04210050112013

Recent writings on the subject of lymphoma and leukemia record an appreciable incidence of central nervous system involvement.1-5 Infiltration of the spinal leptomeninges, cord, and spinal roots is, however, one of the less common modes by which these disorders produce prominent neural symptoms. Case reports in which this condition has been verified stress the resemblance of the clinical manifestations to those of infectious neuronitis, encephalomyelitis, and meningitis.

In the case to be described extensive lymphosarcomatous invasion of spinal roots resulted in a clinical syndrome predominantly characterized by lumbosacral radiculopathy. The motor deficits were much more evident than the sensory, although pain was a prominent symptom. The appearance of the cauda equina at surgery was striking but was easily correlated in retrospect with an interesting myelogram.

Report of Case  A white male truck driver was 31 years of age when he noted swelling and pain in the left maxillary region