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Clinical Neuroradiology
Published in: Clinical Neuroradiology 1/2017

01-03-2017 | Correspondence

High-Resolution Vessel Wall MRI

Appearance of Intravascular Lymphoma Mimics Central Nervous System Vasculitis

Authors: Joanna D Schaafsma, Ferdinand Hui, Dolora Wisco, Susan M Staugaitis, Ken Uchino, Elizabeth Kouzmitcheva, Cheryl Jaigobin, Lili-Naz Hazrati, David J Mikulis, Daniel M Mandell

Published in: Clinical Neuroradiology | Issue 1/2017

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Excerpt

Intravascular lymphoma is a subtype of diffuse large B‑cell lymphoma characterized by neoplastic proliferation within the vascular lumen. It is a mimic of central nervous system (CNS) vasculitis: both diseases often present with recurrent focal neurological deficits and/or cognitive decline, routine brain imaging typically shows ischemic strokes of varying ages, angiography demonstrates multifocal narrowing of intracranial arteries and cerebrospinal fluid (CSF) analysis demonstrates a mildly elevated leukocyte count and/or elevated protein concentration [1‐3]. Differentiation between intravascular lymphoma and CNS vasculitis is important as their treatment differs; however, the diagnosis of intravascular lymphoma is commonly delayed or missed as it requires tissue biopsy [1]. …
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Metadata
Title
High-Resolution Vessel Wall MRI
Appearance of Intravascular Lymphoma Mimics Central Nervous System Vasculitis
Authors
Joanna D Schaafsma
Ferdinand Hui
Dolora Wisco
Susan M Staugaitis
Ken Uchino
Elizabeth Kouzmitcheva
Cheryl Jaigobin
Lili-Naz Hazrati
David J Mikulis
Daniel M Mandell
Publication date
01-03-2017
Publisher
Springer Berlin Heidelberg
Published in
Clinical Neuroradiology / Issue 1/2017
Print ISSN: 1869-1439
Electronic ISSN: 1869-1447
DOI
https://doi.org/10.1007/s00062-016-0529-9

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