ANGIOTROPIC B-CELL LYMPHOMA PRESENTING WITH PROGRESSIVE DEMENTIA - ANAUTOPSY CASE AND REVIEW OF THE LITERATURE IN JAPAN

We report an autopsy case of angiotropic lymphoma and review the liter ature in Japan, A 68-year-old female presented with transient right fa cial nerve palsy, right hemiplegia and progressive dementia. Laborator y studies showed raised erythrocyte sedimentation rate, C-reactive pro tein and serum lactate dehydrogenase. Computed tomography of the brain did not show any abnormal density areas but on T2-weighted magnetic r esonance imaging high signal areas were recognized at the basal gangli a. She was diagnosed as having dementia caused by cerebrovascular insu fficiency, She soon developed a febrile state and died of respiratory failure within three months of presentation, Postmortem examination sh owed widespread angiotropic B-cell lymphoma.