Description

Neurolymphomatosis refers to infiltration of one or more nerves by malignant lymphoma cells.


 

Clinical findings:

(1) The patient usually has widespread malignant lymphoma.

(2) The patient may have a cranial or spinal sensorimotor polyneuropathy which may be painful or painless.

(3) Other causes of neuropathy are excluded.

 

Electromyography shows a polyneuropathy with low amplitude motor action potentials.

 

A nerve biopsy shows diffuse infiltration of the nerve by lymphoma cells. A muscle biopsy shows neurogenic muscle atrophy.

 

Differential diagnosis:

(1) peripheral neuropathy associated with chemotherapy

(2) leptomeningeal lymphomatosis

 


To read more or access our algorithms and calculators, please log in or register.