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Masuzawa H, Suzuki F, Amemiya S, Orimo K, Ishiura H, Hara R, Toda T, Nakazawa T, Honda A, Tanaka M, Hinata M, Abe O. A case of intravascular lymphoma presenting with a lesion in the splenium of the corpus callosum. Radiol Case Rep 2023; 18:1929-1932. [PMID: 36970234 PMCID: PMC10030823 DOI: 10.1016/j.radcr.2023.02.025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2022] [Revised: 02/09/2023] [Accepted: 02/12/2023] [Indexed: 03/18/2023] Open
Abstract
Intravascular lymphoma (IVL) is difficult to diagnose because its clinical presentation and laboratory and imaging findings are nonspecific. Herein, we report a case of IVL presenting as a lesion in the splenium of the corpus callosum. A 52-year-old man attended the emergency department with a 2-week history of progressively worsening abnormal behavior and gait disturbance. Magnetic resonance imaging on admission revealed an oval lesion in the splenium of the corpus callosum. The follow-up magnetic resonance imaging performed 2 months after disease onset revealed multiple high-signal areas in the bilateral cerebral white matter on T2-weighted images and diffusion-weighted images. The blood test results showed an elevated level of lactate dehydrogenase and serum-soluble interleukin-2 receptor. These findings were compatible with the diagnosis of IVL. IVL is often difficult to diagnose due to a wide variety of clinical presentations and imaging findings.
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Affiliation(s)
- Haruka Masuzawa
- Department of Radiology, Graduate School of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo City, Tokyo, 113-8655, Japan
- Corresponding author.
| | - Fumio Suzuki
- Department of Radiology, Graduate School of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo City, Tokyo, 113-8655, Japan
| | - Shiori Amemiya
- Department of Radiology, Graduate School of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo City, Tokyo, 113-8655, Japan
| | - Kenta Orimo
- Department of Neurology, Graduate School of Medicine, University of Tokyo, 7-3-1 Hongo, BunkyoCity, Tokyo, 113-8655, Japan
| | - Hiroyuki Ishiura
- Department of Neurology, Graduate School of Medicine, University of Tokyo, 7-3-1 Hongo, BunkyoCity, Tokyo, 113-8655, Japan
| | - Ryo Hara
- Department of Neurology, Center Hospital of the National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjuku-ku, Tokyo, 162-8655, Japan
| | - Tatsushi Toda
- Department of Neurology, Graduate School of Medicine, University of Tokyo, 7-3-1 Hongo, BunkyoCity, Tokyo, 113-8655, Japan
| | - Teruo Nakazawa
- Department of Neurology, Kashiwa Kousei General Hospital, 617 Shikoda, Kashiwa-shi, Chiba-ken 277-8551, Japan
| | - Akira Honda
- Department of Hematology and Oncology, Graduate School of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo City, Tokyo, 113-8655, Japan
| | - Mariko Tanaka
- Department of Pathology, Graduate School of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo City, Tokyo, 113-8655, Japan
| | - Munetoshi Hinata
- Department of Pathology, Graduate School of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo City, Tokyo, 113-8655, Japan
| | - Osamu Abe
- Department of Radiology, Graduate School of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo City, Tokyo, 113-8655, Japan
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