International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 2, Issue 10 | Case Report | Open Access

Fatal Intravascular Large B-cell Lymphoma Mimicking Central Nervous System Vasculitis: A Case Report

Wilson Rodriguez*

Department of Neurology, Saint Louis University School of Medicine, Saint Louis, USA

*Correspondence to: Wilson Rodriguez 

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Abstract

We present a case of a 69-year-old man who presented with one year of cognitive decline, recurrent ischemic strokes, and new onset visual hallucinations. Initially, clinical and radiographic findings raised concern for central nervous system vasculitis, however brain biopsy confirmed a diagnosis of intravascular large B-cell lymphoma.

During hospitalization, Brain MRI revealed multiple acute ischemic strokes in both cerebral hemispheres, a diagnostic brain angiogram showed mild alternating stenosis in branches of right anterior and middle cerebral arteries, and a brain biopsy reported intravascular large B-cell lymphoma.

This case report emphasizes the broad neurologic presentation of intravascular B-cell lymphoma and the urgency of his early diagnosis. 

Keywords:

Fatal intravascular; B-cell lymphoma; Central nervous system vasculitis

Citation:

Wilson Rodriguez, Anika Mazunder, Brian Miremadi, Katherine Schwetye, Weston Gordon, Guillermo Linares.Fatal Intravascular Large B-cell Lymphoma Mimicking Central Nervous System Vasculitis: A Case Report. Int Clinc Med Case Rep Jour. 2023;2(10.):1-6.