An unusual presentation of primary malignant B-cell-type dural lymphoma

Low, Yin Yee Sharon; Lai, Siang Hui; Ng, Wai Hoe

doi:10.11622/smedj.2014168

Cited by 6 publications

(5 citation statements)

References 15 publications

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“…7,8 Coagulopathy and intracranial tumors have been associated with spontaneous CSDH. 4,13,19,21 In this study we also found the association of hypertension, diabetes, previous surgery and Parkinson's disease associated with CSDH but they were all statistically insignifi cant causes. The presenting symptoms are depending on the site and size, confusion or coma, altered memory, speaking or swallowing problems, gait abnormalities, decreased mentation, headache, seizures and bowel or bladder incontinence.…”

Section: Chronic Subdural Hematomasupporting

confidence: 61%

“…The factors that increase the risk of CSDH are chronic alcoholism, epilepsy, coagulopathy, arachnoid cysts (age <40 years), anticoagulant therapy (including aspirin), cardiovascular disease (eg, hypertension, arteriosclerosis), thrombocytopenia, spinal anesthesia, cerebrospinal shunt procedures, severe dehydration and Diabetes mellitus. 19,11,18,34 Bilateral Mode of injury fall injury 0 85…”

Section: Discussionmentioning

confidence: 99%

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Single Burr Hole and Drainage in Chronic Subdural Hematoma: Outcome in Consecutive 333 Cases

Roka¹,

Firoj²,

Alok³

et al. 2016

Nep J Neurosci

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Chronic subdural hematoma (CSDH) is a common neurosurgical disease with incidence 3 in 100,000 in general population. Recorded or trivial head injury is the most common cause of CSDH with several predisposing factors like alcoholism, coagulopathy, seizure disorder, cerebrospinal fluid shunts, metastases and vascular malformations. Bilateral CSDH are common in infants and interhemispheric subdural hematomas are often associated with child abuse. Coagulopathy and intracranial tumors have been associated with spontaneous CSDH. 86 % were males with 47% of CSDH on left followed by 35% in right and 61 cases (18%) were bilateral. The most common age group was 61 to 80 years (45%) followed by the 41 to 60 year group. During admission headache was the most common symptom followed by neurological deficits that include, loss of speech (65%), mono or hemiparesis (20%), quadreparesis (5%), bowel and bladder dysfunction and loss of memory or altered sensorium. Statistical analysis did not show any significant p value between the Age group, Sex, Side of CSDH or chronic alcoholism as independent variables affecting outcome. GCS at admission was the only factor that had significant p value in terms of outcome prediction. Although there are multiple comorbidities associated with CSDH this study found that except GCS there was no relation to age, side, sex, alcoholism, hypertension or diabetes in the outcome after surgery. Meticulous care to remove all the CSDH followed by use of drain is the most efficient way to manage CSDH.Nepal Journal of Neuroscience 13:35-42, 2016

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Section: Chronic Subdural Hematomasupporting

confidence: 61%

Section: Discussionmentioning

confidence: 99%

Single Burr Hole and Drainage in Chronic Subdural Hematoma: Outcome in Consecutive 333 Cases

Roka¹,

Firoj²,

Alok³

et al. 2016

Nep J Neurosci

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“…In our case, there was profound bony invasion and destruction. With either PCVL or PDL, there are often findings of a "dural tail," further supporting a possible meningioma diagnosis [9][10][13][14]16]. With PCVL being such a rare pathology, no signs of systemic disease, and the lack of improvement on systemic corticosteroids, we were reasonably confident that pathology would show a high-grade meningioma.…”

Section: Discussionmentioning

confidence: 74%

“…Primary dural lymphoma (PDL) is reported as a separate and distinct entity from PCVL. It is believed to arise primarily from the dura and its predominant pathology is of lower grade lymphoma, the most common being marginal zone B-cell lymphoma [ 6 , 9 - 10 ]. In a comparison of PCVL and PDL, there are much fewer reports of calvarial involvement and intraparenchymal invasion in PDL [ 11 - 13 ].…”

Section: Discussionmentioning

confidence: 99%

Primary Cranial Vault Non-Hodgkin’s Lymphoma Mimicking Meningioma With Positive Angiography

Kiessling¹,

Whitney²,

Cathel³

et al. 2020

Cureus

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Primary non-Hodgkin's lymphoma of the bone remains an uncommon presentation of non-Hodgkin's lymphoma. Primary lymphoma of the cranial vault is exceptionally rare. Here, we present a 62-year-old immunocompetent male presenting with the rapid growth of a left parietal scalp lesion and new-onset seizure. In addition to his imaging, which showed an extracranial, cranial, and intracranial mass with bony destruction, sagittal sinus involvement, and parenchymal invasion, his diagnostic angiogram demonstrated extensive vascular supply from both the right and left external carotid branches. Intraoperatively, we confirmed a frank invasion of the posterior sagittal sinus. After subtotal resection followed by R-CHOP (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone therapy, the patient continues to be disease-free at the 10-month follow-up. We report here a case of primary cranial vault lymphoma that very closely mimicked meningioma in many ways, with positive angiography and intraoperatively confirmed venous sinus invasion.

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“…[8] The second is the type of lymphoma. At present, there are mainly the following types reported: lymphoplasmacytic lymphoma, [9] marginal zone lymphoma, [10][11][12][13] diffuse B-cell lymphoma, [14] and Burkitt lymphoma. [15] However, large-cell lymphoma (T-cell and ALK are positive) is rare.…”

Section: Discussionmentioning

confidence: 99%

Subdural anaplastic large-cell lymphoma presenting as a subacute epidural hematoma on imaging: A case report

Yin²,

Huo

et al. 2022

Medicine

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Rationale: Subdural anaplastic large-cell lymphoma (SALCL) is an extremely rare subtype of primary central nervous system (CNS) lymphoma. Here, we report a very rare subdural lymphoma case, which was misdiagnosed as a subacute epidural hematoma based on the radiological examination.Patient concerns: We present the case of an 82-year-old patient who presented with a 2-day history of headache and consciousness disorder following head injury. Computed tomography of the head revealed a fusiform isodense/slightly dense shadow under the right temporoparietal occipital cranial plate, suggesting a subacute epidural hematoma. It was initially misdiagnosed as a right traumatic subacute epidural hematoma with hemiplegia of the left limb. According to the patient's condition, an emergency craniotomy was performed to remove the hematoma. However, it was found that the lesion was located under the dura mater and was yellowish-brown with yellowish-brown liquid inside. The appearance of the lesion looked like bean curd residue. Histopathological examination diagnosed ALCL.Diagnosis: SALCL presenting as a subacute epidural hematoma on imaging.Interventions: Operation.Outcomes: The patient died 1 month after being discharged automatically.Conclusions: This report shows a rare radiography presentation of SALCL. SALCL can mimic the appearance of an epidural hematoma and should be regarded as a differential diagnosis even in patients with a history of craniocerebral injury and the "typical" imaging appearance of an epidural hematoma. The report is hoped to provide a scientific reference for the clinical diagnosis of subdural lymphoma.

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An unusual presentation of primary malignant B-cell-type dural lymphoma

Cited by 6 publications

References 15 publications

Single Burr Hole and Drainage in Chronic Subdural Hematoma: Outcome in Consecutive 333 Cases

Single Burr Hole and Drainage in Chronic Subdural Hematoma: Outcome in Consecutive 333 Cases

Primary Cranial Vault Non-Hodgkin’s Lymphoma Mimicking Meningioma With Positive Angiography

Subdural anaplastic large-cell lymphoma presenting as a subacute epidural hematoma on imaging: A case report

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