teaching neuroimages a woman with atypical facial pain neurology resident and fellow section
Post on 31-Dec-2015
215 Views
Preview:
TRANSCRIPT
Teaching NeuroImagesA Woman with Atypical Facial Pain
NeurologyResident and Fellow Section
Vignette
• A 70-year-old woman with a history of non-Hodgkin’s lymphoma, presented with left-sided facial pain.
• Initial MRI head was negative. • A week later, she developed hypesthesia in a V3
distribution. • Repeat MRI and CSF analysis were unrevealing.• FDG-PET showed increased uptake along the left V3
branch of the trigeminal nerve and in the parotid gland • Ultrasound-guided biopsy of the left parotid was
diagnosticMichel Toledano et al
Imaging
Michel Toledano et al
Diagnostic utility of FDG-PET in neurolymphomatosis
• Biopsy of the left parotid confirmed recurrent lymphoma.
• Neurolymphomatosis is a rare manifestation of hematologic disease and diagnosis is often delayed.1
• Our case illustrates the utility of FDG-PET in establishing the diagnosis of neurolymphomatosis when suspicion is high but MRI is unrevealing.2
Michel Toledano et al
top related