Advertisement
Letter to the Editor| Volume 352, ISSUE 1-2, P117-119, May 15, 2015

Download started.

Ok

Heparin-responsive angiopathy in the central nervous system caused by intravascular large B-cell lymphoma

Published:March 24, 2015DOI:https://doi.org/10.1016/j.jns.2015.03.026
      Intravascular large B-cell lymphoma (IVLBCL) is characterized by an intraluminal proliferation of lymphoma cells, which frequently causes vascular occlusive disorders in the central nervous system (CNS) [
      • Ferreri A.J.
      • Campo E.
      • Seymour J.F.
      • Willemze R
      • Ilariucci F
      • Ambrosetti A
      • et al.
      Intravascular lymphoma: clinical presentation, natural history, management and prognostic factors in a series of 38 cases, with special emphasis on the ‘cutaneous variant’.
      ]. Although the advent of rituximab has improved the survival of patients with B-cell lymphoma [
      • Takahashi H.
      • Tomita N.
      • Yokoyama M.
      • Tsunoda S
      • Yano T
      • Murayama K
      • et al.
      Prognostic impact of extranodal involvement in diffuse large B-cell lymphoma in the rituximab era.
      ], the treatment for neurological deficits caused by IVLBCL-associated angiopathy has not yet been established. Here, we report a patient with CNS-IVLBCL, responding to subacute heparin administration.

      Abbreviations:

      CNS (central nervous system), CT (computed tomography), FDG-PET (fluorodeoxyglucose positron emission tomography), IVLBCL (intravascular large B-cell lymphoma), MRI (magnetic resonance imaging)

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of the Neurological Sciences
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Ferreri A.J.
        • Campo E.
        • Seymour J.F.
        • Willemze R
        • Ilariucci F
        • Ambrosetti A
        • et al.
        Intravascular lymphoma: clinical presentation, natural history, management and prognostic factors in a series of 38 cases, with special emphasis on the ‘cutaneous variant’.
        Br J Haematol. 2004; 127: 173-183
        • Takahashi H.
        • Tomita N.
        • Yokoyama M.
        • Tsunoda S
        • Yano T
        • Murayama K
        • et al.
        Prognostic impact of extranodal involvement in diffuse large B-cell lymphoma in the rituximab era.
        Cancer. 2012; 118: 4166-4172
        • Berger J.R.
        • Jones R.
        • Wilson D.
        Intravascular lymphomatosis presenting with sudden hearing loss.
        J Neurol Sci. 2005; 232: 105-109
        • Bouzani M.
        • Karmiris T.
        • Rontogianni D.
        • Delimpassi S
        • Apostolidis J
        • Mpakiri M
        • et al.
        Disseminated intravascular B-cell lymphoma: clinicopathological features and outcome of three cases treated with anthracycline-based immunochemotherapy.
        Oncologist. 2006; 11: 923-928
        • Bendas G.
        • Borsig L.
        Cancer cell adhesion and metastasis: selectins, integrins, and the inhibitory potential of heparins.
        Int J Cell Biol. 2012; 2012: 676731
        • Schlesinger M.
        • Roblek M.
        • Ortmann K.
        • Naggi A
        • Torri G
        • Borsig L
        • et al.
        The role of VLA-4 binding for experimental melanoma metastasis and its inhibition by heparin.
        Thromb Res. 2014; 133: 855-862
        • Kuderer N.M.
        • Khorana A.A.
        • Lyman G.H.
        • Francis CW
        A meta-analysis and systematic review of the efficacy and safety of anticoagulants as cancer treatment: impact on survival and bleeding complications.
        Cancer. 2007; 110: 1149-1161
        • Schlesinger M.
        • Schmitz P.
        • Zeisig R.
        • Naggi A
        • Torri G
        • Casu B
        • et al.
        The inhibition of the integrin VLA-4 in MV3 melanoma cell binding by non-anticoagulant heparin derivatives.
        Thromb Res. 2012; 129: 603-610
        • Kanda M.
        • Suzumiya J.
        • Ohshima K.
        • Tamura K
        • Kikuchi M
        Intravascular large cell lymphoma: clinicopathological, immuno-histochemical and molecular genetic studies.
        Leuk Lymphoma. 1999; 34: 569-580
        • Asagoe K.
        • Fujimoto W.
        • Yoshino T.
        • Mannami T
        • Liu Y
        • Kanzaki H
        • et al.
        Intravascular lymphomatosis of the skin as a manifestation of recurrent B-cell lymphoma.
        J Am Acad Dermatol. 2003; 48: S1-4