Cent Eur Neurosurg 2006; 67(1): 26-29
DOI: 10.1055/s-2005-872511
Case Report

© Georg Thieme Verlag Stuttgart · New York

Primary Cranial Vault Lymphoma Presenting As a Traumatic Subdural Hematoma

Primäres Lymphom der Schädelkalotte präsentiert als traumatisches subdurales HämatomC. Evliyaoğlu1 , K. Ilbay2 , C. Ercin3 , S. Ceylan2
  • 1Department of Neurosurgery, Kirikkale University School of Medicine, Kirikkale, Turkey
  • 2Department of Neurosurgery, Kocaeli University School of Medicine, Kocaeli, Turkey
  • 3Department of Pathology, Kocaeli University School of Medicine, Kocaeli, Turkey
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
03. März 2006 (online)

Abstract

Objective and Importance: The authors present a rare case of a primary cranial vault lymphoma, mimicking a subacute subdural hematoma after head trauma. Clinical Presentation: A 78-year-old woman was admitted to the hospital with progressive left hemiparesis, headache and a gradually increasing soft lump over the right parietal region 1 week after head trauma due to falling from a high place. A computed tomography (CT) scan demonstrated a hyperdense parieto-occipital subdural and subgaleal lesion together with marked midline shift and white matter edema. Intervention: Considering her trauma story and clinical progression, the patient underwent an emergency operation with the diagnosis of subdural hematoma. However, the lesion was found to be of a tumoros nature and the histopathological diagnosis was high-grade malignant non-Hodgkin's lymphoma. Conclusion: The authors emphasize the rarity of primary cranial vault lymphoma and its importance in the differential diagnosis of cranial vault mass lesions extending either intra- or extracranially. This case may be considered as another example where magnetic resonance imaging (MRI) is the ultimate definitive test in the emergency ward whenever CT demonstrates any findings which are unclear.

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