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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Autores principales: Carolina Amado, Valter Duarte, Mariana Silva Leal, Margarida Cruz, Gisela Ferreira
Formato: article
Lenguaje:EN
Publicado: SMC MEDIA SRL 2021
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Acceso en línea:https://doaj.org/article/be33cb8557e540b1baa9d48cb9cf8ebe
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic chronic lymphocytic leukaemia
central nervous system
Medicine
R
spellingShingle 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
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