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KMID : 0388720170240010049
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Journal of Korean Society of Spine Surgery
2017 Volume.24 No. 1 p.49 ~ p.54
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Epidural Lymphoma Mimicking Hematoma: A Case Report
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Lee Dong-Yeong
Jeong Soon-Taek
Kim Kun-Tae
Yang Jung-Wook
Kim Dong-Hee
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Abstract
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Study Design: Case report.
Objectives: To present a rare case of a spinal epidural lymphoma mimicking a hematoma.
Summary of Literature Review: The incidence of extranodal invasion of lymphoma is very low, and spinal compression as a clinical symptom rarely occurs in extranodal lymphoma.
Materials and Methods: A 37-year-old woman who complained of neck pain that had lasted for the past 3 months with no underlying disease visited the hospital and was treated conservatively with medication and physical therapy. Even though the patient was given an epidural injection 1 month prior to visiting our hospital, the pain lingered and the cervical myelopathy became aggravated, so the patient was initially diagnosed with epidural hematoma. This predisposed the patient to treatment strategies such as laminectomy and fusion, but the patient was ultimately diagnosed with non-Hodgkin lymphoma.
Results: The patient underwent a laminectomy with excision of the lesion and fusion. The patient was diagnosed with non-Hodgkin lymphoma as a result of this, and the patient’s radicular pain and numbness improved immediately following surgery, except for mild weakness in both hands.
Conclusions: Although spinal epidural lymphoma is similar to hematoma, and is a very rare disease, surgeons should take it into consideration in the differential diagnosis of patients with a spinal epidural lesion.
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KEYWORD
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Myelopathy, Epidural, Lymphoma, Non-Hodgkin lymphoma, Hematoma
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