Chronic Lymphocytic Leukaemia: Rare Involvement of the Central Nervous System
Involvement of the central nervous system, although uncommon, is one of the most frequent extramedullary manifestations of chronic lymphocytic leukaemia (CLL). Various conditions can lead to neurological symptoms in CLL patients and distinguishing between clinically significant CLL involvement of th...
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SMC MEDIA SRL
2021
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oai:doaj.org-article:be33cb8557e540b1baa9d48cb9cf8ebe2021-11-09T11:22:42ZChronic Lymphocytic Leukaemia: Rare Involvement of the Central Nervous System2284-259410.12890/2021_002847https://doaj.org/article/be33cb8557e540b1baa9d48cb9cf8ebe2021-11-01T00:00:00Zhttps://www.ejcrim.com/index.php/EJCRIM/article/view/2847https://doaj.org/toc/2284-2594Involvement of the central nervous system, although uncommon, is one of the most frequent extramedullary manifestations of chronic lymphocytic leukaemia (CLL). Various conditions can lead to neurological symptoms in CLL patients and distinguishing between clinically significant CLL involvement of the CNS and other aetiologies can be challenging. The authors report the case of a 90-year-old woman with a previous diagnosis of low-risk CLL who presented to the emergency room with altered mental status. After the most frequent causes were ruled out and considering the underlying disease, CNS infiltration by clonal B-cells was hypothesised and later confirmed. Treatment was initiated, but the patient died soon afterwards.Carolina AmadoValter DuarteMariana Silva LealMargarida CruzGisela FerreiraSMC MEDIA SRLarticlechronic lymphocytic leukaemiacentral nervous systemMedicineRENEuropean Journal of Case Reports in Internal Medicine (2021) |
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chronic lymphocytic leukaemia central nervous system Medicine R |
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chronic lymphocytic leukaemia central nervous system Medicine R Carolina Amado Valter Duarte Mariana Silva Leal Margarida Cruz Gisela Ferreira Chronic Lymphocytic Leukaemia: Rare Involvement of the Central Nervous System |
description |
Involvement of the central nervous system, although uncommon, is one of the most frequent extramedullary manifestations of chronic lymphocytic leukaemia (CLL). Various conditions can lead to neurological symptoms in CLL patients and distinguishing between clinically significant CLL involvement of the CNS and other aetiologies can be challenging.
The authors report the case of a 90-year-old woman with a previous diagnosis of low-risk CLL who presented to the emergency room with altered mental status. After the most frequent causes were ruled out and considering the underlying disease, CNS infiltration by clonal B-cells was hypothesised and later confirmed. Treatment was initiated, but the patient died soon afterwards. |
format |
article |
author |
Carolina Amado Valter Duarte Mariana Silva Leal Margarida Cruz Gisela Ferreira |
author_facet |
Carolina Amado Valter Duarte Mariana Silva Leal Margarida Cruz Gisela Ferreira |
author_sort |
Carolina Amado |
title |
Chronic Lymphocytic Leukaemia: Rare Involvement of the Central Nervous System |
title_short |
Chronic Lymphocytic Leukaemia: Rare Involvement of the Central Nervous System |
title_full |
Chronic Lymphocytic Leukaemia: Rare Involvement of the Central Nervous System |
title_fullStr |
Chronic Lymphocytic Leukaemia: Rare Involvement of the Central Nervous System |
title_full_unstemmed |
Chronic Lymphocytic Leukaemia: Rare Involvement of the Central Nervous System |
title_sort |
chronic lymphocytic leukaemia: rare involvement of the central nervous system |
publisher |
SMC MEDIA SRL |
publishDate |
2021 |
url |
https://doaj.org/article/be33cb8557e540b1baa9d48cb9cf8ebe |
work_keys_str_mv |
AT carolinaamado chroniclymphocyticleukaemiarareinvolvementofthecentralnervoussystem AT valterduarte chroniclymphocyticleukaemiarareinvolvementofthecentralnervoussystem AT marianasilvaleal chroniclymphocyticleukaemiarareinvolvementofthecentralnervoussystem AT margaridacruz chroniclymphocyticleukaemiarareinvolvementofthecentralnervoussystem AT giselaferreira chroniclymphocyticleukaemiarareinvolvementofthecentralnervoussystem |
_version_ |
1718441143901880320 |