Steroid responsive metastatic epidural nerve root infiltration with chronic lymphocytic leukaemia

A 60-year-old man with B-cell chronic lymphocytic leukaemia, diagnosed 3 years earlier (CD5, CD20 and CD23 positive, CD3 and CD10 negative; clonal B-cells forming 86% of total peripheral blood count, positive CD5, CD19, CD20, CD22, CD23 and weakly positive CD79b: CLL score 4/5) presented acutely with severe radicular pain in the right arm and sensorimotor signs in a C6–C7 distribution. There …