Intra-abdominal T-cell lymphoma presenting with seizures and MRI changes.

T-cell lymphoma is rarely associated with direct or indirect neurological complications. We present a unique case with features of both a paraneoplastic syndrome, with early encephalopathy and new onset refractory status epilepticus (NORSE)1 and later multifocal brain infarctions that were likely related to more direct complications of lymphoma. Though infectious encephalitis is likely to underlie many, if not the majority of cases of adult onset NORSE, others have suggested that adult NORSE is likely to be more heterogenous and includes para-infectious, immune-mediated as non-infectious.1