Nöropsikiyatri Arşivi; 2014;51(3):288-292
Primer Ekstranodal İntestinal Lenfomalı Bir Hastada Gözlenen Guillain Barré Sendromu: Paraneoplastik Kökenli mi, İlaç Yan Etkisi mi, Rastlantısal mı?
AK Atamer, K Okutur, E Tüzün, B Hasbal, A Boyacıyan, Y Krespi, G Demir
İstanbul Bilim University, İstanbul
Neurological involvement is observed in 5%-25% of patients with lymphoma being either
the first presentation of the disease or emerging during its course. However, Guillain-Barré
syndrome is rarely reported. In this article, we present a case with intestinal lymphoma
developing Guillain-Barré syndrome during the course of the disease. A 66-year-old male
patient with primary extranodal intestinal lymphoma developed quadriparesis, sensory
deficits and autonomic dysfunction while receiving chemotherapy. The findings of clinical,
electrophysiological and laboratory examinations were consistent with Guillain-Barré
syndrome. Guillain-Barré syndrome can potentially be fatal and mimic chemotherapyinduced
neurotoxicity, especially in patients with lymphoma, and therefore, must be
considered in the differential diagnosis.
Guillain-Barre Syndrome in a Patient with Primary ExtranodalIntestinal Non-Hodgkin’s Lymphoma: Paraneoplastic, Drug Induced or Coincidental?
Lenfomali hastalarin %5-%25’inde nörolojik tutulum gerek ilk klinik prezentasyon olarak,
gerekse hastalik seyri sirasinda gözlenebilir. Ancak Guillain Barré sendromu nadiren
bidirilmistir. Bu yazida intestinal lenfoma seyrinde gelisen bir Guillain Barré sendromu
olgusu sunulmustur. Bilinen primer ekstranodal intestinal lenfomasi olan ve kemoterapi
alan 66 yasinda bir erkek hastada subakut kuadriparezi, duyu bozuklugu ve otonomik
disfonksiyon gelismistir. Klinik muayene, elektrofizyolojik incelemeler ve laboratuar
bulgularinin Guillain-Barré sendromu ile uyumlu oldugu saptanmistir. Guillain-Barré
sendromu ölümcül bir hastalik olma potansiyeline sahiptir ve özellikle lenfoma hastalarinda
kullanilan kemoterapötik ajanlarin nörotoksik yan etkilerini taklit edebilir, bu nedenle ayirici
tanida gözetilmesi ve tedavisinin hizla baslatilmasi önemlidir.