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January 15, 2013; 80 (3) Clinical/Scientific Notes

Granulomatous angiitis of the CNS revealing a Hodgkin lymphoma

Loïc Le Guennec, Damien Roos-Weil, Karima Mokhtari, Dorian Chauvet, Dimitri Psimaras, Peggy Reiner, Sophie Demeret, Francis Bolgert, Sylvain Choquet, Nicolas Weiss
First published December 26, 2012, DOI: https://doi.org/10.1212/WNL.0b013e31827deb26
Loïc Le Guennec
From the Neurological Intensive Care Unit (L.L.C., S.D., F.B., N.W.), Neurology Department (D.P.); Hematology Department (D.R.-W., S.C.); Neuropathology Department (K.M.); and Neurosurgery Department (D.C.), La Pitié-Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris and Pierre and Marie Curie University Paris 6, Paris; and Neurology Department (P.R.), Lariboisière Hospital, Assistance Publique-Hôpitaux de Paris and Université Paris 7, Denis Diderot, Paris, France.
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Damien Roos-Weil
From the Neurological Intensive Care Unit (L.L.C., S.D., F.B., N.W.), Neurology Department (D.P.); Hematology Department (D.R.-W., S.C.); Neuropathology Department (K.M.); and Neurosurgery Department (D.C.), La Pitié-Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris and Pierre and Marie Curie University Paris 6, Paris; and Neurology Department (P.R.), Lariboisière Hospital, Assistance Publique-Hôpitaux de Paris and Université Paris 7, Denis Diderot, Paris, France.
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Karima Mokhtari
From the Neurological Intensive Care Unit (L.L.C., S.D., F.B., N.W.), Neurology Department (D.P.); Hematology Department (D.R.-W., S.C.); Neuropathology Department (K.M.); and Neurosurgery Department (D.C.), La Pitié-Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris and Pierre and Marie Curie University Paris 6, Paris; and Neurology Department (P.R.), Lariboisière Hospital, Assistance Publique-Hôpitaux de Paris and Université Paris 7, Denis Diderot, Paris, France.
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Dorian Chauvet
From the Neurological Intensive Care Unit (L.L.C., S.D., F.B., N.W.), Neurology Department (D.P.); Hematology Department (D.R.-W., S.C.); Neuropathology Department (K.M.); and Neurosurgery Department (D.C.), La Pitié-Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris and Pierre and Marie Curie University Paris 6, Paris; and Neurology Department (P.R.), Lariboisière Hospital, Assistance Publique-Hôpitaux de Paris and Université Paris 7, Denis Diderot, Paris, France.
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Dimitri Psimaras
From the Neurological Intensive Care Unit (L.L.C., S.D., F.B., N.W.), Neurology Department (D.P.); Hematology Department (D.R.-W., S.C.); Neuropathology Department (K.M.); and Neurosurgery Department (D.C.), La Pitié-Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris and Pierre and Marie Curie University Paris 6, Paris; and Neurology Department (P.R.), Lariboisière Hospital, Assistance Publique-Hôpitaux de Paris and Université Paris 7, Denis Diderot, Paris, France.
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Peggy Reiner
From the Neurological Intensive Care Unit (L.L.C., S.D., F.B., N.W.), Neurology Department (D.P.); Hematology Department (D.R.-W., S.C.); Neuropathology Department (K.M.); and Neurosurgery Department (D.C.), La Pitié-Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris and Pierre and Marie Curie University Paris 6, Paris; and Neurology Department (P.R.), Lariboisière Hospital, Assistance Publique-Hôpitaux de Paris and Université Paris 7, Denis Diderot, Paris, France.
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Sophie Demeret
From the Neurological Intensive Care Unit (L.L.C., S.D., F.B., N.W.), Neurology Department (D.P.); Hematology Department (D.R.-W., S.C.); Neuropathology Department (K.M.); and Neurosurgery Department (D.C.), La Pitié-Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris and Pierre and Marie Curie University Paris 6, Paris; and Neurology Department (P.R.), Lariboisière Hospital, Assistance Publique-Hôpitaux de Paris and Université Paris 7, Denis Diderot, Paris, France.
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Francis Bolgert
From the Neurological Intensive Care Unit (L.L.C., S.D., F.B., N.W.), Neurology Department (D.P.); Hematology Department (D.R.-W., S.C.); Neuropathology Department (K.M.); and Neurosurgery Department (D.C.), La Pitié-Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris and Pierre and Marie Curie University Paris 6, Paris; and Neurology Department (P.R.), Lariboisière Hospital, Assistance Publique-Hôpitaux de Paris and Université Paris 7, Denis Diderot, Paris, France.
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Sylvain Choquet
From the Neurological Intensive Care Unit (L.L.C., S.D., F.B., N.W.), Neurology Department (D.P.); Hematology Department (D.R.-W., S.C.); Neuropathology Department (K.M.); and Neurosurgery Department (D.C.), La Pitié-Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris and Pierre and Marie Curie University Paris 6, Paris; and Neurology Department (P.R.), Lariboisière Hospital, Assistance Publique-Hôpitaux de Paris and Université Paris 7, Denis Diderot, Paris, France.
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Nicolas Weiss
From the Neurological Intensive Care Unit (L.L.C., S.D., F.B., N.W.), Neurology Department (D.P.); Hematology Department (D.R.-W., S.C.); Neuropathology Department (K.M.); and Neurosurgery Department (D.C.), La Pitié-Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris and Pierre and Marie Curie University Paris 6, Paris; and Neurology Department (P.R.), Lariboisière Hospital, Assistance Publique-Hôpitaux de Paris and Université Paris 7, Denis Diderot, Paris, France.
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Citation
Granulomatous angiitis of the CNS revealing a Hodgkin lymphoma
Loïc Le Guennec, Damien Roos-Weil, Karima Mokhtari, Dorian Chauvet, Dimitri Psimaras, Peggy Reiner, Sophie Demeret, Francis Bolgert, Sylvain Choquet, Nicolas Weiss
Neurology Jan 2013, 80 (3) 323-324; DOI: 10.1212/WNL.0b013e31827deb26

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Apart from the iatrogenic effects of treatment, neurologic complications of Hodgkin lymphoma (HL) can be divided into direct (meningeal or intracranial/spinal localization) and indirect (paraneoplastic/immune complications).1 Here, we present a patient with granulomatous angiitis of the CNS (GANS) associated with HL that dramatically improved after the treatment of the angiitis by cyclophosphamide, methylprednisolone, and specific chemotherapy.

Footnotes

  • Study funding: No targeted funding reported.

  • Supplemental data at www.neurology.org

  • Author contributions: Loïc Le Guennec, Damien Roos-Weil, and Nicolas Weiss wrote the manuscript. Karima Mokhtari and Dimitri Psimaras performed the anatomopathologic study and critically reviewed its results. Dorian Chauvet, Peggy Reiner, Sophie Demeret, Sylvain Choquet, and Francis Bolgert critically reviewed the manuscript.

  • Disclosure: The authors report no disclosures relevant to the manuscript. Go to Neurology.org for full disclosures.

  • Received April 20, 2012.
  • Accepted September 21, 2012.
  • © 2012 American Academy of Neurology
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Letters: Rapid online correspondence

  • Granulomatous Angiitis of the CNS Revealing a Hodgkin Lymphoma, No Evidence for Varicella Zoster Virus Infection
    • Nicolas Weiss, Attending physician, La Pitie-Salpetriere Hospital, Assistance Publique - Hopitaux de Paris and IHU-A-ICMnicolas.weiss@psl.aphp.fr
    • Damien Roos Weil, Paris, France; Loic Le Guennec, Paris, France; Dorian Chauvet, Paris, France; Delphine Leclercq, Paris, France; Dimitri Psimaras, Paris, France and Karima Mokhtari, Paris, France
    Submitted February 04, 2014
  • Granulomatous Angiitis of the CNS, Hodgkin Lymphoma and the Herpes Zoster Virus
    • Gordon J Gilbert, Volunteer Neurologist, Pinellas County Health Dept.drgg22@tampabay.rr.com
    • Gordon J. Gilbert, M.D., St. Petersburg, FL, USA
    Submitted January 29, 2013
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