Chronic Lymphocytic Leukaemia: Rare Involvement of the Central Nervous System

Involvement of the central nervous system, although uncommon, is one of the most frequent extramedullary manifestations of chronic lymphocytic leukaemia (CLL). Various conditions can lead to neurological symptoms in CLL patients and distinguishing between clinically significant CLL involvement of th...

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Main Authors: Carolina Amado, Valter Duarte, Mariana Silva Leal, Margarida Cruz, Gisela Ferreira
Format: Article
Language:English
Published: SMC MEDIA SRL 2021-11-01
Series:European Journal of Case Reports in Internal Medicine
Subjects:
Online Access:https://www.ejcrim.com/index.php/EJCRIM/article/view/2847
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author Carolina Amado
Valter Duarte
Mariana Silva Leal
Margarida Cruz
Gisela Ferreira
author_facet Carolina Amado
Valter Duarte
Mariana Silva Leal
Margarida Cruz
Gisela Ferreira
author_sort Carolina Amado
collection DOAJ
description Involvement of the central nervous system, although uncommon, is one of the most frequent extramedullary manifestations of chronic lymphocytic leukaemia (CLL). Various conditions can lead to neurological symptoms in CLL patients and distinguishing between clinically significant CLL involvement of the CNS and other aetiologies can be challenging. The authors report the case of a 90-year-old woman with a previous diagnosis of low-risk CLL who presented to the emergency room with altered mental status. After the most frequent causes were ruled out and considering the underlying disease, CNS infiltration by clonal B-cells was hypothesised and later confirmed. Treatment was initiated, but the patient died soon afterwards.
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spelling doaj.art-be33cb8557e540b1baa9d48cb9cf8ebe2022-12-21T21:26:53ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942021-11-0110.12890/2021_0028472463Chronic Lymphocytic Leukaemia: Rare Involvement of the Central Nervous SystemCarolina Amado0Valter Duarte1Mariana Silva Leal2Margarida Cruz3Gisela Ferreira4Internal Medicine Department, Centro Hospitalar do Baixo Vouga, Aveiro, PortugalInternal Medicine Department, Centro Hospitalar do Baixo Vouga, Aveiro, PortugalInternal Medicine Department, Centro Hospitalar do Baixo Vouga, Aveiro, PortugalInternal Medicine Department, Centro Hospitalar do Baixo Vouga, Aveiro, PortugalHaematology Department, Centro Hospitalar do Baixo Vouga, Aveiro, PortugalInvolvement of the central nervous system, although uncommon, is one of the most frequent extramedullary manifestations of chronic lymphocytic leukaemia (CLL). Various conditions can lead to neurological symptoms in CLL patients and distinguishing between clinically significant CLL involvement of the CNS and other aetiologies can be challenging. The authors report the case of a 90-year-old woman with a previous diagnosis of low-risk CLL who presented to the emergency room with altered mental status. After the most frequent causes were ruled out and considering the underlying disease, CNS infiltration by clonal B-cells was hypothesised and later confirmed. Treatment was initiated, but the patient died soon afterwards.https://www.ejcrim.com/index.php/EJCRIM/article/view/2847chronic lymphocytic leukaemiacentral nervous system
spellingShingle Carolina Amado
Valter Duarte
Mariana Silva Leal
Margarida Cruz
Gisela Ferreira
Chronic Lymphocytic Leukaemia: Rare Involvement of the Central Nervous System
European Journal of Case Reports in Internal Medicine
chronic lymphocytic leukaemia
central nervous system
title Chronic Lymphocytic Leukaemia: Rare Involvement of the Central Nervous System
title_full Chronic Lymphocytic Leukaemia: Rare Involvement of the Central Nervous System
title_fullStr Chronic Lymphocytic Leukaemia: Rare Involvement of the Central Nervous System
title_full_unstemmed Chronic Lymphocytic Leukaemia: Rare Involvement of the Central Nervous System
title_short Chronic Lymphocytic Leukaemia: Rare Involvement of the Central Nervous System
title_sort chronic lymphocytic leukaemia rare involvement of the central nervous system
topic chronic lymphocytic leukaemia
central nervous system
url https://www.ejcrim.com/index.php/EJCRIM/article/view/2847
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AT valterduarte chroniclymphocyticleukaemiarareinvolvementofthecentralnervoussystem
AT marianasilvaleal chroniclymphocyticleukaemiarareinvolvementofthecentralnervoussystem
AT margaridacruz chroniclymphocyticleukaemiarareinvolvementofthecentralnervoussystem
AT giselaferreira chroniclymphocyticleukaemiarareinvolvementofthecentralnervoussystem