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Arch Neurol. 2006;63:908-909.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 37-year-old female cachectic, immunocompetent, human immunodeficiency virus–negative patient (weight, 39 kg) presented with a slowly progressive paraparesis and a mild fluctuating psychotic pathology developing over half a year. Because of a limited spectrum of food intake that mainly consisted of falafel (containing Lathyrus sativus), neurolathyrism was suspected during a previous hospitalization. However, incommensurate with that diagnosis, a cerebral magnetic resonance imaging scan (Figure, A-C) showed an uncommon, remarkable, multifocal, streaklike contrast enhancement that appeared to follow the perivascular spaces. A spinal magnetic resonance imaging scan displayed a myelopathy with swelling of the whole spinal cord.

Figure appears in full text version. Figure. Cerebral magnetic resonance imaging demonstrating leukoencephalopathy in turbo inversion recovery magnitude sequences (A) and uncommon streaklike contrast enhancement in T1-weighted sequences (B and C). Immunohistochemistry revealed massive perivascular infiltration by small CD20-positive B cells (D [hematoxylin-eosin, original magnification x200] and E (CD20 staining, original magnification x200) with a . . . [Full Text of this Article]

AUTHOR INFORMATION

George Trendelenburg, MD; Claus Zimmer, MD; Annette Forschler, MD; Christine Stadelmann, MD; Rolf Zschenderlein, MD

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