eISSN: 1509-572x
ISSN: 1641-4640
Folia Neuropathologica
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1/2013
vol. 51
 
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abstract:

Case report
Pseudo-stroke manifestation of multiple myeloma: a report of two cases with literature review

Piotr Czapiewski
,
Tomasz Szmuda
,
Jarosław Dzierżanowski
,
Paweł Słoniewski
,
Krzysztof Sworczak
,
Maria Gnacińska
,
Mirosława Dubaniewicz-Wybieralska
,
Andrzej Hellmann
,
Wojciech Biernat

Folia Neuropathol 2013; 51 (1): 87-91
Online publish date: 2013/03/28
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Multiple myeloma rarely presents with neurological symptoms. We describe two patients with pseudo-stroke manifestation of multiple myeloma. The first patient was a 60-year-old female with the initial presentation of multiple myeloma forming a large skull tumour compressing the brain with resultant symptoms of aphasia, limited logical contact and right upper extremity paresis. The second patient was a 69-year-old female who presented with a partial motor epileptic seizure involving both right limbs with persisting weakness of muscles and speech disturbances due to a skull tumour 4 years after the diagnosis of multiple myeloma. Pseudo-stroke manifestation of multiple myeloma is extremely uncommon, however it can sometimes be observed both as an initial presentation and in the course of long-lasting disease.
keywords:

multiple myeloma, stroke, aphasia, hemiparesis, aspiration biopsy

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