Abstract
Introduction: Neurolymphomatosis (NL) is a rare disease. Ultrasound (US) plays a crucial role in diagnosing and following up the NL.
Case Presentation: A 59-year-old man was hospitalized with acute pain in the left upper extremity. Ultrasound revealed segmental swelling of multiple nerves around his left elbow with abundant blood flow signals. Contrast-Enhanced Ultrasound (CEUS) showed a rapid, complete and homogenous enhancement in the nerve lesions in the early arterial phase. The NL was confirmed by imaging and flow cytometry, and he accepted chemotherapy. The posttherapeutic ultrasound showed that the nerves in the left upper limb were basically normal. Unfortunately, the patient died of cerebral metastasis in 5 months.
Conclusion: The nerve US and CEUS can show specific manifestations and provide more diagnostic information about NL.
Keywords: Follow-up, Neurolymphomatosis, Lymphoma, Multifocal, Nerve, Ultrasound, Contrast-enhanced ultrasound.
Current Medical Imaging
Title:The Value of Nerve Ultrasound to Diagnose and Follow Up the Multifocal Neurolyphomatosis in the Upper Limb---- Case Report and Literature Review
Volume: 20
Author(s): Nan Zhuang, Lu Xie, Dongsheng Liu and HaiQin Xie*
Affiliation:
- Department of Ultrasound, Peking University Shenzhen Hospital, Shenzhen, China
Keywords: Follow-up, Neurolymphomatosis, Lymphoma, Multifocal, Nerve, Ultrasound, Contrast-enhanced ultrasound.
Abstract:
Introduction: Neurolymphomatosis (NL) is a rare disease. Ultrasound (US) plays a crucial role in diagnosing and following up the NL.
Case Presentation: A 59-year-old man was hospitalized with acute pain in the left upper extremity. Ultrasound revealed segmental swelling of multiple nerves around his left elbow with abundant blood flow signals. Contrast-Enhanced Ultrasound (CEUS) showed a rapid, complete and homogenous enhancement in the nerve lesions in the early arterial phase. The NL was confirmed by imaging and flow cytometry, and he accepted chemotherapy. The posttherapeutic ultrasound showed that the nerves in the left upper limb were basically normal. Unfortunately, the patient died of cerebral metastasis in 5 months.
Conclusion: The nerve US and CEUS can show specific manifestations and provide more diagnostic information about NL.
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Cite this article as:
Zhuang Nan, Xie Lu, Liu Dongsheng and Xie HaiQin*, The Value of Nerve Ultrasound to Diagnose and Follow Up the Multifocal Neurolyphomatosis in the Upper Limb---- Case Report and Literature Review, Current Medical Imaging 2024; 20 : e15734056281665 . https://dx.doi.org/10.2174/0115734056281665231221051933
DOI https://dx.doi.org/10.2174/0115734056281665231221051933 |
Print ISSN 1573-4056 |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-6603 |
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