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Intravascular Lymphomatosis Presenting as Posterior Leukoencephalopathy
Arch Neurol. 2002;59:640.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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A 73-YEAR-OLD woman presented with progressive confusion over a 5-week
period, after having become increasingly apathetic for the past several months
and having lost 22.5 kg over the past 1 year.
On examination, the patient was normotensive and cachectic. Neurologically,
there was psychomotor retardation with disorientation to place and time, complete
visual loss except for a small preserved central focus, and denial for the
degree of visual loss.
Cerebral T2 magnetic resonance images revealed large confluent areas
of hyperintensity in the subcortical regions of the occipital and parietal
lobes bilaterally, involving the U fibers but sparing the cortex (Figure 1A). Linear enhancement of the affected
areas and the adjacent meninges was noted (Figure 1B).
Figure appears in full text version.
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Figure 1. A, T2 magnetic resonance image
demonstrating bioccipital subcortical hyperintensities, involving U fibers
but sparing the cortex. B, T1 contrast magnetic resonance image demonstrating
cerebral and meningeal enhancement.
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Serum cobalamin, serum . . . [Full Text of this Article] COMMENT
Corresponding author and reprints: Michael Moussouttas, MD, New York
Medical College, 1155 Warburton Ave, 1U, Yonkers, NY 10701 (e-mail: arista1@pol.net).
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