Ann Clin Neurophysiol.  2023;25(1):45-49. 10.14253/acn.2023.25.1.45.

Lumbosacral plexopathy due to neurolymphomatosis superimposed on traumatic nerve injury

• Lee HJ
• Kim JY
• Beom J

• KMID: 2541823
• DOI: http://doi.org/10.14253/acn.2023.25.1.45

Abstract

Neurolymphomatosis is the direct endoneurial infiltration of lymphoma cells. Bone marrow biopsy is a widely practiced procedure that is generally considered to be relatively safe. However, bone marrow biopsy can also result in pain and long-term consequences such as nerve injury. Here we report a case of a 68-year-old male who presented with lumbosacral plexopathy due to neurolymphomatosis that was superimposed on a probable traumatic lumbosacral plexopathy mostly involving the sciatic nerve immediately after a bone marrow biopsy.

Keyword

Neurolymphomatosis; Peripheral nerve injuries; Bone marrow; Biopsy

Figure

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  Fig. 1. (A) Fluorine-18-fluorodeoxyglucose positron-emission tomography (18F-FDG PET) on the day of bone marrow biopsy revealed residual reactive lymph nodes only in the mediastinum and bilateral pulmonary hilum (B). 18F-FDG PET revealed newly presenting hypermetabolism at the left lumbosacral plexus and sciatic nerve (straight arrows) at 6 weeks after the initial development of left leg weakness.

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