Title: Study of Neurological Manifestations in Hematolymphoid Neoplasms in A Tertiary Care Hospital In Eastern India
Authors: Kishalay Karan, Prasenjit Sengupta, Sandip Pal
DOI: https://dx.doi.org/10.18535/jmscr/v5i8.193
Abstract
Objectives: In the current study, we proposed to investigate neurological manifestations in patients with hematolymphoid neoplasms in a tertiary care centre in Kolkata
Materials and Methods: This was a prospective observational study from 1st February 2013 to 31st January 2015 among newly diagnosed 194 consecutive eligible cases of hematolymphoid neoplasms attending Institute of Hematology and Transfusion Medicine and/or Department of Neurology, Medical College and Hospital, Kolkata. All the patients were subjected to detailed clinical, biochemical, electrophysiological and radiological investigations.
Results and Analysis: Overall 22% of total patients of hematolymphoid neoplasms with neurological manifestations had NM at presentation. 28%, 15% & 22% of patients with myeloma, leukemia, and lymphoma respectively had NM at presentation of their HN. Therapy related causes were more (78.8% of patients with neurological manifestations had therapy related complications) than directly disease related causes (28.8%) & indirectly disease related causes (24%). Various neurological manifestations were noted. Most common neurological manifestation in all groups was peripheral neuropathy (40% of total 194 patients). 58.5%, 33.3%, 27.5% of patients with myeloma, leukemia, lymphoma respectively developed neuropathy.
Conclusion: Hematolymphoid neoplasms affect both the central and peripheral nervous system and their manifestations can be varied. Most of the patients develop neurological manifestations only during and after therapy. Some patients also have neurological manifestations at presentation and these may be the sole presentation. Therapy leads to more neurological complications than other causes in patients with hematolymphoid neoplasms. Peripheral neuropathy is the commonest neurological manifestation in all groups and shows temporal relationship with therapy.
Keywords: hematolymphoid neoplasms, myeloma, leukemia, lymphoma, Peripheral neuropathy.
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