Two cases of malignant lymphoma of the leptomeninges in dogs are described. Both involved the subarachnoid space overlying the cerebrum and cerebellum and in one dog there was infiltration of neoplastic lymphocytes into the leptomeninges of the cervical spinal cord and nerve roots. These cases appeared to represent primary meningeal lymphoma, except that lymphoma was present in an ovary of one of the dogs and here the meningeal lymphocytes were demonstrated to be B cells by the peroxidase-antiperoxidase method for cytoplasmic immunoglobulin. Meningeal lymphoma, primary or metastic, is rare in dogs. The differential diagnosis is discussed and includes reticulosis, sarcomatosis of the meninges, and the diffuse spread of an oligodendroglioma in the subarachnoid space. A tentative diagnosis of meningeal lymphoma in these cases could be made by examination of the cerebrospinal fluid cells.
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http://dx.doi.org/10.1016/0021-9975(84)90007-0 | DOI Listing |
Tomography
December 2024
Department of Radiology, Nemours Children's Health, 1600 Rockland Rd., Wilmington, DE 19803, USA.
Evaluating altered mental status and suspected meningeal disorders in children often begins with imaging, typically before a lumbar puncture. The challenge is that meningeal enhancement is a common finding across a range of pathologies, making diagnosis complex. This review proposes a categorization of meningeal diseases based on their predominant imaging characteristics.
View Article and Find Full Text PDFCancer Chemother Pharmacol
December 2024
Division of Oncology, Department of Medicine, Stanford University School of Medicine, Stanford Cancer Institute, Stanford, USA.
Progressive leptomeningeal metastases (LM) are associated with intractable neurological symptoms and a poor prognosis, and effective treatment options are limited. Intrathecal (IT) pemetrexed has been shown to confer clinical benefit in lung adenocarcinoma, yet our understanding of the efficacy and safety of the treatment is limited. We report a patient with a long-standing history of leptomeningeal disease due to ALK-positive adenocarcinoma of the lung, previously controlled by increased doses of lorlatinib (125 mg/day).
View Article and Find Full Text PDFNeurohospitalist
December 2024
Department of Neurology, TriStar Centennial Medical Center, Nashville, TN, USA.
Cryptococcal meningitis is a leading cause of morbidity and mortality in patients infected with human immunodeficiency virus. In over 90% of cases, it occurs at CD4 T lymphocyte (CD4) cell counts of less than 100 cells/mm. Cryptococcomas are rare granulomatous lesions that can occur in disseminated central nervous system cryptococcal infection, primarily in immunocompetent hosts.
View Article and Find Full Text PDFJ Small Anim Pract
December 2024
Hospital Veterinaria del Mar, IVC Evidensia, Barcelona, Spain.
Diffuse pachymeningeal contrast enhancement is an uncommon imaging finding in dogs and current understanding of its aetiologies in veterinary medicine is limited. A 2-year-old female neutered Pug presented with chronic progressive vestibular signs, facial nerve paralysis, obtundation and episodic decerebellate rigidity. A magnetic resonance imaging study of the head revealed diffuse pachymeningeal thickening and contrast enhancement involving the caudal fossa and falx cerebri.
View Article and Find Full Text PDFCase Rep Neurol Med
November 2024
Department of Neurology, National Neuroscience Institute (Tan Tock Seng Hospital Campus), Singapore.
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