Subacute motor neuronopathy: a remote effect of lymphoma.

Abstract:

:Ten patients developed a subacute lower motor neuron syndrome as a remote effect of Hodgkin's disease or other lymphoma. The illness usually followed a benign course independent of the activity of the underlying neoplasm. Seven of the patients improved spontaneously, and 3 became neurologically normal. Two patients died of intercurrent infections related to immunosuppression. Neuropathological examination of these 2 patients and 3 previously reported cases showed prominent neuronal degeneration restricted to the anterior horns of the spinal cord and mild posterior column demyelination. Demyelination was also present in the anterior roots of our autopsied patients and was accompanied by large, hyperchromatic Schwann cells. The cause of the illness is obscure, but both radiation therapy and opportunistic infection may be contributing factors. Attempts at virus isolation have been unsuccessful. The syndrome should be distinguished from the more common direct effects of lymphoma on the nervous system, since its identification spares the patient additional, potentially harmful therapy.

journal_name

Ann Neurol

journal_title

Annals of neurology

authors

Schold SC,Cho ES,Somasundaram M,Posner JB

doi

10.1002/ana.410050310

subject

Has Abstract

pub_date

1979-03-01 00:00:00

pages

271-87

issue

3

eissn

0364-5134

issn

1531-8249

journal_volume

5

pub_type

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