Brain Involvement in Hodgkin’s Disease after 15 years passed of remission: Report of a Case

International Journal of Hematology-Oncology and Stem Cell Research

Ebrahim Soltanian¹  Hooshang Yusefi¹  Mehrdad Payandeh²  Mehrnoush Aeinfar³  Mohammad Erfan Zare⁴ 

[1] Blood Transfusion Center, Kermanshah, Iran;Hematology-oncology department, Taleghany Hospital, Kermanshah University of medical science (KUMS), Kermanshah, Iran;Hematology-oncology department, Taleghany Hospital, Kermanshah University of medical science (KUMS),Kermanshah, Iran;Medical Biology Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran;

关键词: Hodgkin's disease;    Psychosis;    Brain involvement;    Papilledema;    Hemiparesia;    Steroid treatment;   

DOI  :  

来源: DOAJ

【 摘 要 】

The case of a 52 old women with Hodgkin’s disease of 15 years duration is described. During 4 months ago when she be in the remission phase during every 6 months her follow up she complaint with paranoid minds, urinary incontinency, headache, dizziness and blurred vision started. Papilledema and left hemiparesia were detected. Brain MRI pointed to intracranial invasion by the disease. Therapeutic test with steroids brought to amelioration; therefore, subsequent skull irradiation and chemotherapy were given which improved her condition markedly. For the diagnosis we need newer diagnostic procedures that enable for correct diagnosis of intracranial involvement in Hodgkin’s disease. In doubtful cases, therapeutic test with steroids, followed by chemotherapy and skull irradiation, are indicated, and surgery should be advised only if these measures fail.

【 授权许可】

Unknown