So Tando, Tadashi Kimura, Ryo Mizuhara, Natsuko Yuki, Akira Yoshioka, Hisashi Takahashi, Rei Yasuda, Kyoko Itoh
Intravascular large B-cell lymphoma can induce central nervous system manifestations, including strokes, due to small-vessel occlusion caused by lymphoma cells. However, involvement in large-sized vessels is rare. Here, we present an unusual autopsy case of an 88-year-old man showing a rapid transition from multiple strokes due to small vessel occlusion, typical of intravascular lymphoma, to progressive embolic strokes caused by the occlusion of major cerebral arteries. Magnetic resonance angiography demonstrated the major cerebral arteries associated with those multiple progressive strokes, including the right posterior cerebral artery, left anterior cerebral artery, and right middle cerebral artery, but the detectability was poor...
August 10, 2023: Neuropathology: Official Journal of the Japanese Society of Neuropathology