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Non-Hodgkin lymphoma of the cranial vault with retrobulbar metastasis mimicking a subacute subdural hematoma: case report

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Authors
Yoon, Sang-Hoon; Paek, Sun Ha; Park, Sung-Hye; Kim, Dong Gyu; Jung, Hee-Won
Issue Date
2008
Publisher
American Association of Neurological Surgeons
Citation
J Neurosurg 108:1018-1020, 2008
Keywords
lymphocytic B-cell lymphoma; non-Hodgkin lymphoma; retrobulbar metastasis; subdural hematoma
Abstract
Primary skeletal non-Hodgkin lymphoma is rare. The authors report a case of a small lymphocytic B-cell lymphoma of the skull occurring in a 53-year-old man who presented with right-hand apraxia. Initial computed tomography and magnetic resonance imaging revealed a hematoma-mimicking lesion in the left frontoparietal subdural area. A frontotemporoparietal craniectomy and biopsy procedure yielded a diagnosis of small lymphocytic B-cell lymphoma, with a metastatic nodule in the retrobulbar area. Three years after undergoing radiation therapy and surgery, the patient has shown neurological improvement without systemic dissemination of the malignancy. The lesion in this case was misdiagnosed as a subdural hematoma, and shows the importance of including lymphoma in the differential diagnosis of subdural mass lesions.
ISSN
0022-3085 (print)1933-0693 (online)
Language
English
URI
http://hdl.handle.net/10371/3857
DOI
https://doi.org/10.3171/JNS/2008/108/5/1018
https://doi.org/10.3171/JNS/2008/108/5/1018
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College of Medicine/School of Medicine (의과대학/대학원)Pathology (병리학전공)Journal Papers (저널논문_병리학전공)
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