Hodgkins Lymphoma: A Review of Neurologic ComplicationsReport as inadecuate




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Advances in HematologyVolume 2011 2011, Article ID 624578, 7 pages

Review Article

Northwestern University, Chicago, IL 60208, USA

Department of Neurology and Neurological Surgery, Seattle Cancer Care Alliance, Fred Hutchinson Cancer Research Center, University of Washington, 825 Eastlake Avenue E, P.O. Box 19023, MS-G4940, Seattle, WA 98109-1023, USA

Received 1 July 2010; Accepted 26 August 2010

Academic Editor: Meral Beksac

Copyright © 2011 Sean Grimm and Marc Chamberlain. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Hodgkin-s lymphoma is a hematolymphoid neoplasm, primarily of B cell lineage, that has unique histologic, immunophenotypic, and clinical features. Neurologic complications of Hodgkin-s Lymphoma can be separated into those that result directly from the disease, indirectly from the disease, or from its treatment. Direct neurologic dysfunction from Hodgkin-s Lymphoma results from metastatic intracranial spinal disease, epidural metastases causing spinal cord-cauda equina compression, leptomeningeal metastases, or intradural intramedullary spinal cord metastases. Indirect neurologic dysfunction may be caused by paraneoplastic disorders such as paraneoplastic cerebellar degeneration or limbic encephalitis and primary angiitis of the central nervous system. Hodgkin-s lymphoma treatment typically includes chemotherapy or radiotherapy with potential treatment-related complications affecting the nervous system. Neurologic complications resulting from mantle-field radiotherapy include the “dropped head syndrome,” acute brachial plexopathy, and transient ischemic attacks-cerebral infarcts. Chemotherapy for Hodgkin-s lymphoma may cause cerebral infarction due to emboli from anthracycline-induced cardiomyopathy and peripheral neuropathy.





Author: Sean Grimm and Marc Chamberlain

Source: https://www.hindawi.com/



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