Rapidly Neurological Deficit Preoperative and Surgery-related Complications Occurred Postoperatively Caused by an Epidural Mass of B-Cell Lymphoblastic Lymphoma (Case Report). Issue 1 (February 2016)

• Record Type: Journal Article
• Authors: Huang, Siqing; Gong, Shuhui; Liu, Jiagang
• Is Part Of: Neurosurgery quarterly. Volume 26:Issue 1(2016)
• Publication Date: 2016-02
• Subjects: neurological deficit -- complications -- B-cell lymphoblastic lymphoma; Nervous system -- Surgery -- Periodicals; 617.4805
• DOI: 10.1097/WNQ.0000000000000144
• Languages: English
• ISSNs: 1050-6438

Abstract

Abstract : The aim of this paper is to present a 13-year-old patient with bilateral lower limb paralysis and bladder incontinence rapidly progressive within a week. Spine magnetic resonance imaging (MRI) showed a giant epidural mass extending from C6 to T6 and involving soft tissue paraspinally. A surgical procedure was performed, and postoperative histopathologic examinations proved that the mass was B-cell lymphoblastic lymphoma. Preoperative symptoms were not relieved because of some complications, which occurred postoperative. Decreased blood platelets caused a serious coagulation function disorder and discontinuity hyperpyrexia postoperatively. The patient had a poor prognosis and died 1 month postoperatively. When B-cell lymphoma has a serious neurological deficit with bone morrow involvement, surgical treatment should be considered cautiously.