Primary central nervous system lymphoma presenting as autonomic dysfunction

We describe a patient with primary central nervous system lymphoma (PCNSL) who presented with symptoms of subacute onset of dysautonomia. Autonomic testing indicated a peripheral autonomic neuropathy while magnetic resonance imaging revealed brainstem involvement. We propose that this patient's...

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Bibliographic Details
Published in:Journal of neuro-oncology 1995-01, Vol.23 (3), p.245-248
Main Authors: FICKER, D. M, HAMMACK, J. E
Format: Article
Language:English
Subjects:
Aged
Autonomic Nervous System Diseases - diagnostic imaging
Autonomic Nervous System Diseases - etiology
Autonomic Nervous System Diseases - psychology
Biological and medical sciences
Brain - pathology
Central Nervous System Neoplasms - complications
Central Nervous System Neoplasms - diagnostic imaging
Central Nervous System Neoplasms - psychology
Humans
Hypotension, Orthostatic - etiology
Lymphoma - complications
Lymphoma - diagnostic imaging
Lymphoma - psychology
Magnetic Resonance Imaging
Male
Medical sciences
Neurology
Paraneoplastic Syndromes - diagnostic imaging
Paraneoplastic Syndromes - psychology
Personality Disorders - etiology
Radionuclide Imaging
Tumors of the nervous system. Phacomatoses
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Description
Summary:We describe a patient with primary central nervous system lymphoma (PCNSL) who presented with symptoms of subacute onset of dysautonomia. Autonomic testing indicated a peripheral autonomic neuropathy while magnetic resonance imaging revealed brainstem involvement. We propose that this patient's autonomic dysfunction could be the result of a paraneoplastic syndrome and PCNSL should be considered in the differential diagnosis of dysautonomia.
ISSN:0167-594X
1573-7373
DOI:10.1007/BF01059956