Korean J Hematol 1998; 33(3):
Published online September 30, 1998
© The Korean Society of Hematology
두개내 수외 형질세포종의 임상상으로 재발한 다발성 골수종 1례
현동우, 백진호, 김동환, 정진태, 손상균, 이재태, 이규보
경북대학교 의과대학 내과학교실
A Case of Relapsed Multiple Myeloma Presented as lntracranial Extramedullary Plasmacytoma
Intracranial plasmacytoma presented by extramedullary involvement of multiple myeloma is rarely reported. Neurologic complications by intracranial extramedullary
plasmacytomas are cranial nerve palsy, visual disturbance, vertigo, nystagmus, headache, paralysis, mental change and etc.
We experienced a case of relapsed multiple myeloma presented as intracranial extramedullary plasmacytoma. Brain magnetic resonance imaging(MRI) disclosed a large
soft tissue mass involving the sphenoidal sinus and cavernous sinus which invaded optic chiasma, occulomotor nerve and pituitary gland. Relapsed multiple myeloma with
intracranial extramedullary plasmacytoma was confined by trans-sphenoidal biopsy and urine electrophoresis. Neurologic complications of the patient was improved after cranial radiotherapy and systemic chemotherapy.
Keywords Multiple myeloma; Intracranial extramedullary plasmacytoma;
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Korean J Hematol 1998; 33(3): 460-465
Published online September 30, 1998
Copyright © The Korean Society of Hematology.
두개내 수외 형질세포종의 임상상으로 재발한 다발성 골수종 1례
현동우, 백진호, 김동환, 정진태, 손상균, 이재태, 이규보
경북대학교 의과대학 내과학교실
A Case of Relapsed Multiple Myeloma Presented as lntracranial Extramedullary Plasmacytoma
Dong Woo Hyun, Jin Ho Baik, Dong Hwan Kim, Jin Tae Jung, Sang Kyun Sohn, Jae Tae Lee, Kyu Bo Lee
Department of Internal Medicine, Kyungpook National University, School of Medicine, Taegu, Korea
Abstract
Intracranial plasmacytoma presented by extramedullary involvement of multiple myeloma is rarely reported. Neurologic complications by intracranial extramedullary
plasmacytomas are cranial nerve palsy, visual disturbance, vertigo, nystagmus, headache, paralysis, mental change and etc.
We experienced a case of relapsed multiple myeloma presented as intracranial extramedullary plasmacytoma. Brain magnetic resonance imaging(MRI) disclosed a large
soft tissue mass involving the sphenoidal sinus and cavernous sinus which invaded optic chiasma, occulomotor nerve and pituitary gland. Relapsed multiple myeloma with
intracranial extramedullary plasmacytoma was confined by trans-sphenoidal biopsy and urine electrophoresis. Neurologic complications of the patient was improved after cranial radiotherapy and systemic chemotherapy.
Keywords: Multiple myeloma, Intracranial extramedullary plasmacytoma,
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