A case of intravascular lymphoma presenting with a lesion in the splenium of the corpus callosum.

Intravascular lymphoma (IVL) is difficult to diagnose because its clinical presentation and laboratory and imaging findings are nonspecific. Herein, we report a case of IVL presenting as a lesion in the splenium of the corpus callosum. A 52-year-old man attended the emergency department with a 2-week history of progressively worsening abnormal behavior and gait disturbance. Magnetic resonance imaging on admission revealed an oval lesion in the splenium of the corpus callosum. The follow-up magnetic resonance imaging performed 2 months after disease onset revealed multiple high-signal areas in the bilateral cerebral white matter on T2-weighted images and diffusion-weighted images. The blood test results showed an elevated level of lactate dehydrogenase and serum-soluble interleukin-2 receptor. These findings were compatible with the diagnosis of IVL. IVL is often difficult to diagnose due to a wide variety of clinical presentations and imaging findings.

A comparative study of LiCoO2 polymorphs: structural and electrochemical characterization of O2-, O3-, and O4-type phases.

O4-type LiCoO2 as a third polymorph of LiCoO2 is prepared by an ion-exchange method in aqueous media from OP4-[Li, Na]CoO2, which has an intergrowth structure of O3-LiCoO2 and P2-Na0.7CoO2. O4-type LiCoO2 is characterized by synchrotron X-ray diffraction, neutron diffraction, and X-ray absorption spectroscopy. Structural characterization reveals that O4-type LiCoO2 has an intergrowth structure of O3- and O2-LiCoO2 with stacking faulted domains. Three LiCoO2 polymorphs are formed from the close-packed CoO2 layers, which consist of edge-shared CoO6 octahedra, whereas the oxide-ion stacking is different: cubic in the O3-phase, cubic/hexagonal in the O2-phase, and alternate O3 and O2 in the O4-phase. Structural analysis using the DIFFaX program suggests that the O4-phase consists of approximately 30% of O12-domains, while stacking faults are not evidenced for O2-phase. The results suggest that a nucleation process for Na/Li ion-exchange kinetically dominates a growth process of ideal O4-domains because the presence of CoO2-Li-CoO2 blocks as O3-domains could be expected to prevent through-plane interaction of Na layers. Electrochemical behavior and structural transition processes for three LiCoO2 polymorphs are compared in Li cells. A new phase, OT(#)4-type Li0.5CoO2, is first isolated as an intergrowth phase of O3- and T(#)2-Li0.5CoO2. However, some deviations from ideal behavior as the O2/O3-intergrowth phase are also noted, presumably because of the existence of stacking faults.