کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3058433 1580287 2016 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Post-transplant lymphoproliferative disorder of the cervical spine mimicking an epidural abscess
ترجمه فارسی عنوان
اختلال لنفوپرولیفراتیو پس از پیوند تقلید ستون فقرات گردن به وسیله یک آبسه اپیدورال
کلمات کلیدی
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی عصب شناسی
چکیده انگلیسی


• Post-transplant lymphoproliferative disease (PTLD) causing spinal cord compression is a rare phenomenon.
• Imaging findings of epidural infection and lymphoproliferative disorders may be indistinguishable.
• PTLD must be included in the differential diagnosis of an immunocompromised individual.

Post-transplant lymphoproliferative disease (PTLD) is a recognized complication following solid organ and stem cell transplants with subsequent immunosuppression and is the most common malignancy complicating solid organ transplantation. Improved survival and use of aggressive immunosuppression following solid organ transplants have led to increased diagnosis of PTLD. Nevertheless, spinal involvement in PTLD is extremely rare. To our knowledge, this is the first report of PTLD causing epidural spinal cord compression of the cervical spine, mimicking the imaging and pathology of an epidural abscess. The patient underwent posterior and subsequent anterior decompression and stabilization. Rarity of occurrence of PTLD in the spine with absence of diagnostic imaging features may preclude differentiating it from the more commonly occurring lesions such as epidural abscess which occurs in a similar clinical setting. As the management strategy and overall prognosis are dramatically different, the importance of considering PTLD in the differential diagnosis for epidural spinal cord compression in a transplant recipient patient cannot be overemphasized.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Clinical Neuroscience - Volume 29, July 2016, Pages 175–178
نویسندگان
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