• Br J Neurosurg · Jun 2013

    Case Reports

    Solitary neurolymphomatosis of the brachial plexus mimicking benign nerve sheath tumour: case report.

    • Mitsuhiro Okada, Kiyohito Takamatsu, Naoto Oebisu, and Hiroaki Nakamura.
    • Department of Orthopaedic Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan. m-okada@med.osaka-cu.ac.jp
    • Br J Neurosurg. 2013 Jun 1; 27 (3): 386-7.

    AbstractNeurolymphomatosis typically appears as a diffuse lesion with thickening of the affected nerves on magnetic resonance imaging (MRI). MRI in the present case revealed a well-defined, solitary lesion showing continuity with brachial plexus nerves. Findings including clinical symptoms resembled benign nerve sheath tumour rather than neurolymphomatosis. Intra-operatively, the C8 root was focally swollen, corresponding to a well-circumscribed lesion on MRI. The diagnosis of neurolymphomatosis was obtained only after resection biopsy. Post-operatively, (18)F-fluorodeoxyglucose positron emission tomography proved useful for follow-up evaluation. We offer the first description of the MRI characteristics of brachial plexopathy in neurolymphomatosis, along with the clinical course.

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