일시적인 자연관해를 보인 원발성 중추신경계 림프종

J Korean Neurol Assoc > Volume 28(1); 2010 > Article

Journal of the Korean Neurological Association 2010;28(1): 59-62.

Temporary Spontaneous Remission in Primary CNS Lymphoma

이승연, 하상원 조은경 한정호 홍기무 안경모 황정연 김윤정a 김두응

서울보훈병원 신경과, 병리과a

일시적인 자연관해를 보인 원발성 중추신경계 림프종

Seung Yeon Lee

Department of Neurology and Pathologya, Seoul Veterans Hospital, Seoul, Korea

Abstract

Spontaneous remission in untreated primary central nervous system lymphoma is rare. A 66-year-old man was admitted with dizziness and gait disturbance. Initial fluid-attenuated inversion-recovery images revealed hyperintensities in the upper brainstem, left temporal lobe, and right occipital lobe. The patient’s symptoms and lesions disappeared spontaneously after 1?month. However, he was readmitted after 4?months with right hemiparesis. Magnetic resonance imaging revealed a homogenous enhanced lesion in the left basal ganglia with a vasogenic pattern. This disease warranted biopsy, which revealed large B-cell lymphoma. KeyWords:Primary central nervous system lymphoma (PCNSL), Spontaneous remission, Large B-cell lymphoma