{"id":280,"date":"2023-05-30T12:00:03","date_gmt":"2023-05-30T12:00:03","guid":{"rendered":"https:\/\/domeagency.ro\/dhrrh\/?p=280"},"modified":"2023-10-31T17:00:46","modified_gmt":"2023-10-31T17:00:46","slug":"myelomatous-meningitis-a-diagnostic-and-therapeutic-challenge","status":"publish","type":"post","link":"https:\/\/domeagency.ro\/dhrrh\/myelomatous-meningitis-a-diagnostic-and-therapeutic-challenge\/","title":{"rendered":"Myelomatous Meningitis &#8211; a diagnostic and therapeutic challenge"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; specialty=&#8221;on&#8221; custom_padding_last_edited=&#8221;off|desktop&#8221; _builder_version=&#8221;4.23&#8243; _module_preset=&#8221;default&#8221; custom_padding_phone=&#8221;40px||||false|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;2_3&#8243; specialty_columns=&#8221;2&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_row_inner custom_padding_last_edited=&#8221;on|phone&#8221; _builder_version=&#8221;4.23&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||||false|false&#8221; custom_padding_tablet=&#8221;||||false|false&#8221; custom_padding_phone=&#8221;||||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column_inner saved_specialty_column_type=&#8221;2_3&#8243; _builder_version=&#8221;4.23&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_post_title author=&#8221;off&#8221; date_format=&#8221;M, Y&#8221; comments=&#8221;off&#8221; featured_image=&#8221;off&#8221; _builder_version=&#8221;4.23&#8243; _module_preset=&#8221;default&#8221; title_line_height=&#8221;1.1em&#8221; title_font_size_tablet=&#8221;&#8221; title_font_size_phone=&#8221;24px&#8221; title_font_size_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_post_title][et_pb_text _builder_version=&#8221;4.23&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;||20px||false|false&#8221; hover_enabled=&#8221;0&#8243; border_width_top=&#8221;1px&#8221; border_color_top=&#8221;#d8d8d8&#8243; border_width_bottom=&#8221;1px&#8221; border_color_bottom=&#8221;#d8d8d8&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<div class=\"article-authors\">\n<div class=\"article-authors\">\n<p class=\"fst-italic\"><em>Sinziana BARBU, Ruxandra IRIMIA, Popescu MONICA, Diana PREDA, Andreea JERCAN, Daniel CORIU, Sorina BADELITA<\/em><\/p>\n<p>&nbsp;<\/p>\n<\/div>\n<div class=\"article-content\">\n<p>Multiple myeloma is a malignant disease, which consists of the clonal proliferation of plasma cells that will lead to the accumulation of a monoclonal protein in the serum and\/or urine, with organic damage. Extramedullary involvement is found in approximately 5% of cases of myeloma. Multiple myeloma with determination in the central nervous system is extremely rare and is associated with a bad prognosis. A targeted treatment scheme for this complication is not described, but the therapeutic approach should follow the same steps as in the case of other lymphoproliferative diseases with neurological involvement ( association of intrathecal chemotherapy applications &#8211; cytarabine and methotrexate, with systemic treatment and depending on the response local radiotherapy should be performed). The occurrence of extramedullary disease in the evolution of multiple myeloma is a complication associated with a poor prognosis.<\/p>\n<p><a href=\"https:\/\/doi.org\/10.59854\/dhrrh.2023.1.1.13\" class=\"text-black\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.59854\/dhrrh.2023.1.1.13<\/a><\/p>\n<\/div>\n<\/div>\n<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner column_structure=&#8221;1_2,1_2&#8243; _builder_version=&#8221;4.23&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;0px||||false|false&#8221; custom_padding=&#8221;0px||||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column_inner type=&#8221;1_2&#8243; saved_specialty_column_type=&#8221;2_3&#8243; _builder_version=&#8221;4.23&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_button button_url=&#8221;https:\/\/domeagency.ro\/dhrrh\/wp-content\/uploads\/2023\/10\/DHRRH_2023_1_Art-02.pdf&#8221; url_new_window=&#8221;on&#8221; button_text=&#8221;Download PDF&#8221; button_alignment=&#8221;left&#8221; button_alignment_tablet=&#8221;center&#8221; button_alignment_phone=&#8221;&#8221; button_alignment_last_edited=&#8221;on|phone&#8221; _builder_version=&#8221;4.23&#8243; _module_preset=&#8221;default&#8221; custom_button=&#8221;on&#8221; button_text_size=&#8221;16px&#8221; button_border_width=&#8221;1px&#8221; button_icon=&#8221;&#xf1c1;||fa||400&#8243; button_icon_placement=&#8221;left&#8221; button_on_hover=&#8221;off&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][\/et_pb_button][\/et_pb_column_inner][et_pb_column_inner type=&#8221;1_2&#8243; saved_specialty_column_type=&#8221;2_3&#8243; _builder_version=&#8221;4.23&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_button button_url=&#8221;@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9saW5rX3VybF9wYWdlIiwic2V0dGluZ3MiOnsicG9zdF9pZCI6IjE3OSJ9fQ==@&#8221; button_text=&#8221;Back to volume&#8221; button_alignment=&#8221;right&#8221; button_alignment_tablet=&#8221;center&#8221; button_alignment_phone=&#8221;center&#8221; button_alignment_last_edited=&#8221;on|desktop&#8221; _builder_version=&#8221;4.23&#8243; _dynamic_attributes=&#8221;button_url&#8221; _module_preset=&#8221;default&#8221; custom_button=&#8221;on&#8221; button_text_size=&#8221;16px&#8221; button_border_width=&#8221;1px&#8221; button_icon=&#8221;&#x3c;||divi||400&#8243; button_icon_placement=&#8221;left&#8221; button_on_hover=&#8221;off&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][\/et_pb_button][\/et_pb_column_inner][\/et_pb_row_inner][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_image src=&#8221;https:\/\/domeagency.ro\/dhrrh\/wp-content\/uploads\/2023\/10\/DH_logo.png&#8221; title_text=&#8221;DH_logo&#8221; _builder_version=&#8221;4.23&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][et_pb_text _builder_version=&#8221;4.23&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#f5f5f5&#8243; text_orientation=&#8221;center&#8221; custom_padding=&#8221;25px|25px|25px|25px|true|true&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><strong>ISSN-online<\/strong>\u00a02972-242X<\/p>\n<p><strong>ISSN-L\u00a0<\/strong>2972-242X<\/p>\n<p><strong>ISSN-print<\/strong>\u00a03008-220X<\/p>\n<p>[\/et_pb_text][et_pb_image src=&#8221;https:\/\/domeagency.ro\/dhrrh\/wp-content\/uploads\/2023\/10\/cc.jpg&#8221; title_text=&#8221;cc&#8221; _builder_version=&#8221;4.23&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][et_pb_image src=&#8221;https:\/\/domeagency.ro\/dhrrh\/wp-content\/uploads\/2023\/10\/srh.png&#8221; title_text=&#8221;srh&#8221; url=&#8221;https:\/\/srh.org.ro\/&#8221; url_new_window=&#8221;on&#8221; _builder_version=&#8221;4.23&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;|25px||25px|false|true&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][\/et_pb_column][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Sinziana BARBU, Ruxandra IRIMIA, Popescu MONICA, Diana PREDA, Andreea JERCAN, Daniel CORIU, Sorina BADELITA &nbsp; Multiple myeloma is a malignant disease, which consists of the clonal proliferation of plasma cells that will lead to the accumulation of a monoclonal protein in the serum and\/or urine, with organic damage. Extramedullary involvement is found in approximately 5% [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[14],"tags":[],"class_list":["post-280","post","type-post","status-publish","format-standard","hentry","category-2023-vol-1-issue-1"],"_links":{"self":[{"href":"https:\/\/domeagency.ro\/dhrrh\/wp-json\/wp\/v2\/posts\/280","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/domeagency.ro\/dhrrh\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/domeagency.ro\/dhrrh\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/domeagency.ro\/dhrrh\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/domeagency.ro\/dhrrh\/wp-json\/wp\/v2\/comments?post=280"}],"version-history":[{"count":3,"href":"https:\/\/domeagency.ro\/dhrrh\/wp-json\/wp\/v2\/posts\/280\/revisions"}],"predecessor-version":[{"id":283,"href":"https:\/\/domeagency.ro\/dhrrh\/wp-json\/wp\/v2\/posts\/280\/revisions\/283"}],"wp:attachment":[{"href":"https:\/\/domeagency.ro\/dhrrh\/wp-json\/wp\/v2\/media?parent=280"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/domeagency.ro\/dhrrh\/wp-json\/wp\/v2\/categories?post=280"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/domeagency.ro\/dhrrh\/wp-json\/wp\/v2\/tags?post=280"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}