Symmetrical lesions of the cerebral peduncles and internal capsules on MRI in a patient with extranodal NK/T cell lymphoma

  • Takeuchi Yuko
    Department of Neurology, Nagoya Ekisaikai Hospital Present Address: Department of Neurology, Masuko Memorial Hospital
  • Kaga Tomotsugu
    Department of Neurology, Nagoya Ekisaikai Hospital
  • Ieda Miho
    Department of Haematology, Nagoya Ekisaikai Hospital
  • Kojima Yumi
    Department of Haematology, Nagoya Ekisaikai Hospital
  • Ochiai Jun
    Department of Neurology, Nagoya Ekisaikai Hospital
  • Mabuchi Chiyuki
    Department of Neurology, Nagoya Ekisaikai Hospital

Bibliographic Information

Other Title
  • MRIにて両側対称性に大脳脚から内包に病変を認めた節外性NK/T細胞リンパ腫の1例

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Description

<p>A 72-year-old man was admitted to our hospital because of subacute progressive consciousness disturbance. FLAIR images showed diffuse high intensity areas in the bilateral thalamus, basal ganglia, and white matter. Chest CT revealed a mass in the right lung. The patient was diagnosed with extranodal natural killer/T cell lymphoma (ENKL) according to the results of a biopsy of the right pulmonary mass. The FLAIR images showed diffuse white matter lesions, without a mass such as lymphomatosis cerebri. On diffusion-weighted images, symmetrical high-intensity lesions of the cerebral peduncle and the internal capsule suggested high-density lymphoma cells around neurons. ENKL of the central nervous system and lung is a very rare neoplasm, and this case showed characteristic images.</p>

Journal

  • Rinsho Shinkeigaku

    Rinsho Shinkeigaku 57 (12), 778-781, 2017

    Societas Neurologica Japonica

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