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Abstract
A 67-year-old man developed swelling of the right leg with inguinal and abdominal pain over a period of 5 days. Excisional biopsy of the left supraclavicular lymph nodes revealed the diffuse, large B cell type of malignant lymphoma. After chemotherapy, he complained of a tingling sensation and weakness in the left upper extremity, and then this progressed to quadriplegia. Electrodiagnostic testing demonstrated the characteristic findings of demyelination, which was consistent with Guillain-Barre syndrome (GBS). Non-Hodgkin's Lymphoma (NHL) leading to GBS, as was observed in the present case, suggests that physicians should be aware of GBS and non-Hodgkin's lymphoma as the full spectrum of these dis-easeshas not been fully defined.
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Fig. 1
Magnetic resonance imaging findings demonstrating a swelling and enhancement in the 6th and 7th cervical nerve roots. (A) T1 weighted axial imaging. (B) Gadolinium enhanced T1 weighted axial imaging.
Table 1.
Results of nerve conduction studies
Table 2.
Follow-up nerve conduction studies
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