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guillain-barré syndrome as first presentation of non-hodgkin's lymphoma
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نویسنده
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ertiaei abolhassan ,ghajarzadeh mahsa ,javdan azizollah ,taffakhori abbas ,siroos bahaaddin ,esfandbod mohsen ,saberi hooshang
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منبع
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acta medica iranica - 2016 - دوره : 54 - شماره : 7 - صفحه:471 -474
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چکیده
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we present a woman referred with underlying non-hodgkin's lymphoma (nhl) masquerading clinically with guillain-barré syndrome (gbs) like syndrome. at first evaluation, chest ct-scan along with brain and whole spine mri were normal. electrodiagnostic studies were in favor of acute generalized polyradiculoneuropathy. laboratory evaluation revealed hypoglycorrhachia. she treated with plasmapheresis after two weeks; she was discharged from hospital, but neurological recovery was not complete. after 6 months, she came back with acute onset of weakness in lower limbs, back pain, fever and urinary incontinence. pinprick and light touch complete sensory loss was found beneath umbilicus. thoracic mri with contrast revealed a dorsal epidural mass extending smoothly from t8 to t12 (10 cm) with spinal cord compression. she underwent urgent laminectomy for spinal cord decompression. histological examination revealed small round cell tumor suggestive of malignant t-cell type lymphoma. in cases with guillain-barré syndrome presentation, systemic hematologic disorders such as non-hodgkin's lymphoma should be considered as one of the differential diagnosis of underlying disease. |
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کلیدواژه
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guillain-barré syndrome ,non-hodgkin's lymphoma ,polyradiculopathy
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آدرس
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department of neurosurgery, school of medicine, tehran university of medical sciences, tehran, iran., Iran, Islamic Republic of, brain and spinal injury research center, imam khomeini hospital, tehran university of medical sciences, tehran, iran., Iran, Islamic Republic of, department of neurosurgery, school of medicine, tehran university of medical sciences, tehran, iran., Iran, Islamic Republic of, department of neurology, iranian center of neurological research, imam khomeini hospital, tehran university of medical sciences, tehran, iran., Iran, Islamic Republic of, department of neurology, iranian center of neurological research, imam khomeini hospital, tehran university of medical sciences, tehran, iran., Iran, Islamic Republic of, department of medicine, school of medicine, tehran university of medical sciences, tehran, iran., Iran, Islamic Republic of, department of neurosurgery, school of medicine, tehran university of medical sciences, tehran, iran. and brain and spinal injury research center, imam khomeini hospital, tehran university of medical sciences, tehran, iran., Iran, Islamic Republic of
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پست الکترونیکی
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hgsaberi@gmail.com
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Authors
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