Published in:
01-09-2008 | Clinical-patient Studies
Recurrent cerebral venous thrombosis revealing paraneoplastic angiitis in Hodgkin’s lymphoma
Authors:
Stephanie Roggerone, Alexandra Traverse-Glehen, Laurent Derex, Jerome Honnorat, Francoise Berger, Gilles Salles, Hugues Rousset, Paul Trouillas, Norbert Nighoghossian
Published in:
Journal of Neuro-Oncology
|
Issue 2/2008
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Abstract
Recurrent cerebral venous thrombosis (CVT), as a manifestation of paraneoplastic angiitis and revealing of nodular lymphocyte predominant Hodgkin’s disease (NLPHD), is an extremely rare condition. We herein report a 55-year-old man who developed recurrent CVT despite efficacious anticoagulant therapy and subsequent stenting of the superior longitudinal sinus. Progressive neurological deterioration ensued and a body scan revealed axillary lymph nodes. Pathological analysis led to a diagnosis of NLPHD. Conventional angiography showed CVT and multiple arterial narrowings. A paraneoplastic primary cerebral angiitis with prominent venous structure involvement was suspected. Immunotherapy using rituximab and steroids provided a dramatic recovery. This case of CVT due to paraneoplastic cerebral angiitis is a rare condition and represents a new, very rare manifestation of nodular lymphocyte predominant Hodgkin’s disease.