PT  - JOURNAL ARTICLE
AU  - Anthony Khoo
AU  - Thomas Kimber
AU  - Penelope Cohen
AU  - Roula Ghaoui
TI  - Progressive cranial neuropathy and uterine involvement in myeloid sarcoma
AID  - 10.1136/bmjno-2019-000006
DP  - 2019 Jul 01
TA  - BMJ Neurology Open
PG  - e000006
VI  - 1
IP  - 1
4099  - http://neurologyopen.bmj.com/content/1/1/e000006.short
4100  - http://neurologyopen.bmj.com/content/1/1/e000006.full
SO  - BMJ Neurol Open2019 Jul 01; 1
AB  - A rare extramedullary manifestation of haematological malignancy, myeloid sarcoma is most commonly seen in patients with acute myeloid leukaemia. We report on an adult patient who presented with an atypical phenotype of progressive cranial neuropathy without blood or bone marrow involvement, and in whom obtaining material for pathological diagnosis was made challenging by unusual findings of absent fluorodeoxyglucose-positron emission tomography avidity and involvement of sites not readily accessible to biopsy (orbital apex and cauda equina). The eventual diagnosis was obtained through biopsy of the uterine cervix before being verified on repeat lymph node and cerebrospinal fluid sampling prior to initiation of chemotherapy.