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Hyperventilation as the initial manifestation of lymphomatous meningitis

โœ Scribed by George Karp; Kenneth Nahum


Publisher
Springer US
Year
1992
Tongue
English
Weight
214 KB
Volume
13
Category
Article
ISSN
0167-594X

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โœฆ Synopsis


We present the case of a 57 year old man who developed a B-cell lymphoma which involved his lymph nodes, liver, spleen, bone marrow, and peripheral blood. Shortly after attaining a complete remission with chemotherapy, the patient developed profound hyperventilation with no apparent cardiac or pulmonary cause. After one month, the patient developed a 7th nerve palsy and a subsequent work-up demonstrated that he had lymphomatous meningitis. The hyperventilation resolved completely with intrathecal chemotherapy, although the patient eventually died of widely disseminated lymphoma.


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