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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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