Suspected neurolymphomatosis in the context of a disseminated immunoblastic non-Hodgkin lymphoma and borreliosis

Abstract

We report the case of a female patient aged 43 years with known immunoblastic gastric lymphoma admitted for progressive motor and sensory deficit with sudden onset and relatively rapid ascending up to chest level and pain in lower limbs. Lumbar puncture revealed high proteins, low CSF glucose, and pleiocytosis with atypical lymphocytes. Considering the symptoms antiborrelia antibodies were tested finding the results extensively positive, advocating for a borreliosis. MRI revealed no significant changes. The case is a feature of the associating pathologies, finding in the literature few reports alike.