Spinal Accessory Neuropathy Secondary to Diffuse Large B-Cell Lymphoma
- Author:
Kunwoo KIM
1
;
Yong Taek LEE
;
Kyung Jae YOON
;
Jung Sang LEE
;
Jin Tae HWANG
;
Jong Geol DO
Author Information
1. Department of Physical and Rehabilitation Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. jg.do@samsung.com
- Publication Type:Case Report
- Keywords:
Spinal accessory nerve;
Lymphoma;
Scapula winging
- MeSH:
Accessory Nerve;
Atrophy;
B-Lymphocytes;
Denervation;
Electrophysiology;
Humans;
Lymphoma;
Lymphoma, B-Cell;
Middle Aged;
Muscles;
Superficial Back Muscles;
Ultrasonography
- From:
Clinical Pain
2019;18(1):52-57
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Spinal accessory neuropathy (SAN) is commonly caused by an iatrogenic procedure, and that caused by tumors is very rare. We present a case of a 49-year-old man suffering from weakness in the right trapezius and sternocleidomastoid muscle. An electrophysiology study confirmed proximal SAN. Fluorodeoxyglucose (FDG)-positron emission tomography (PET)/computed tomography (CT) revealed a diffuse large B-cell lymphoma compressing the right spinal accessory nerve. Ultrasonography showed definite atrophy on the trapezius and sternocleidomastoid muscles. In addition, post-chemotherapy FDG-PET/CT showed increased FDG uptake in the right upper trapezius, suggestive of denervation. This is the first report of SAN caused by direct compression by a diffuse large B-cell lymphoma, comprehensively assessed by an electrophysiology study, ultrasonography, and FDG-PET/CT.
