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this report documents a case of angiotropic large cell lymphoma (ALCL) with imaging characteristics of CNS vasculitis. A 47-year-old man was unresponsive after a 5-month progression of neurologic deterioration and intermittent fevers. MR imaging revealed multiple areas of abnormally increased T2 signal intensity in the cerebral cortex and subcortical white matter. Despite corticosteroid treatment for presumed CNS vasculitis, the patient died. Necropsy revealed a diffuse intravascular malignant mononuclear proliferation consistent with ALCL. |
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anemia angiitis,isolated of CNS angiography,cerebral brain biopsy cerebral infarction cerebral infarction,small,deep cerebral infarction,subcortical cerebrovascular accident cerebrovascular accident,multiple cerebrovascular disease,rapidly progressive corpus callosum,infarction of false negative fever level of consciousness,decreased life expectancy lymphoma lymphoma involving CNS microangiopathy,brain mimics misdiagnosis mortality MRI,abnormal neoplastic angioendotheliosis neuropathology prognosis sedimentation rate sedimentation rate,elevated vasculitides white matter disease
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