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


03. März 2006 (online)


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.


  • 1 Agbi C B, Bannister C M, Turnbull I W. Primary cranial vault lymphoma mimicking a meningioma.  Neurochirurgia (Stuttg). 1983;  26 130-132
  • 2 Aslan Y, Okten A, Demirci A. Primary Burkitt's lymphoma of the cranial vault in a child.  Pediatr Radiol. 1995;  25 (Suppl 1) S232-S233
  • 3 Goetz P, Lafuente J, Revesz T, Galloway M, Dogan A, Kitchen N. Primary low-grade B-cell lymphoma of mucosa-associated lymphoid tissue of the dura mimicking the presentation of an acute subdural hematoma. Case report and review of the literature.  J Neurosurg. 2002;  96 611-614
  • 4 Holtas S, Monajati A, Utz R. Computed tomography of malignant lymphoma involving the skull.  J Comput Assist Tomogr. 1985;  9 725-727
  • 5 Isla A, Alvarez F, Gutierrez M, Gamallo C, Garcia-Blazquez M, Vega A. Primary cranial vault lymphoma mimicking meningioma.  Neuroradiology. 1996;  38 211-213
  • 6 Kantarci M, Erdem T, Alper F, Gundogdu C, Okur A, Aktas A. Imaging characteristics of diffuse primary cutaneous B-cell lymphoma of the cranial vault with orbital and brain invasion.  AJNR. 2003;  24 1324-1326
  • 7 Kinjo T, Satoh T. [A case of malignant lymphoma in the skull after head injury associated with multiple bone tumours].  No Shinkei Geka. 1985;  13 1191-1196
  • 8 Maiuri F, Corriero G, Giamundo A. Primary lymphoma of the cranial vault.  J Neurosurg Sci. 1987;  31 183-186
  • 9 Pardhanani G, Ashkan K, Mendoza N. Primary non-Hodgkin's lymphoma of the cranial vault presenting with unilateral proptosis.  Acta Neurochir. 2000;  142 597-598
  • 10 Rabin D N, Ramsey R G, Vedanthum K S, Foust R J, Rabin M. Extradural lymphoma presenting as an acute surgical emergency.  Neurosurgery. 1987;  20 788-790
  • 11 Schabet M. Epidemiology of primary CNS lymphoma.  J Neurooncol. 1999;  43 199-201

Çetin EvliyaoğluMD 

Yılmaz Çolpan Sok. 7/3

Oran Sitesi


06450 Ankara


Telefon: +90/3 18/2 24 00 87

Fax: +90/3 18/2 25 28 19

eMail: cevliyaoglu@hotmail.com