Author(s):
1. Shahid Ahmed Shah:
Shifa International Hospitals,Islamabad.Pakistan
2. Umar Riaz:
Shifa International Hospitals,Islamabad. Palostan
3. Ibad ur Rehman:
Shifa International Hospitals,Islamabad, Pakistan
4. Ayhan Aamir:
Shifa International Hospitals,Islamabad, Pakistan
Abstract:
Acute Lymphocytic leukemia (ALL) is the most common childhood malignancy, CNS involvement occurs in 3-5% of patients. Commonly ALL presents with fatigue, easy bruisability, repeated infections, and weight loss. We present a case of a 14-year-old boy who presented to us with night-time fever, headache, and right-sided focal fits. Reports showed decreased platelets, increased WBC with predominant eosinophils, and imaging showed a subgaleal, epidural and subdural mass. Bone marrow biopsy and CSF analysis were negative for any hematological malignancy. A histopathology report of the biopsy of the CNS lesion confirmed the diagnosis of Precursor B-cell Lymphocytic Leukemia. Although CSF analysis is useful for evaluating CNS involvement, ALL cannot be ruled out by negative CSF reports.
Page(s):
514-517
Published:
Journal: Journal of Rawalpindi Medical College, Volume: 26, Issue: 3, Year: 2022
Keywords:
CNS Leukemia
,
CNS Leukemia
,
Epidural collection
,
B cell ALL
,
CNS Leukemia
,
CNS Leukemia
,
CNS Leukemia
,
CNS Leukemia
,
CNS Leukemia
,
CNS Leukemia
,
CNS Leukemia
,
CNS Leukemia
,
CNS Leukemia
References:
References are not available for this document.
Citations
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