Abstract
A case of acute necrotic myelopathy (ANM) is reported in conjunction with a noninvasive reticular type of lymphoma. The clinical course was characterized by two rare phenomena: (1) acute torticollis occurred as an initial manifestation, probably as a result of irritation of the dorsal root or dorsal horn; (2) recurrent cardiac arrest occurred late in the course, probably as a result of hypersensitivity of the sensors of postural change. The occurrence of ANM in patients with neoplasia is reviewed and it is concluded that the nature of the association is unknown. Some evidence points to abnormal immunological reactions leading to vascular damage and cord ischemia.
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