Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors
Search in posts
Search in pages
Filter by Categories
Book Review
Brief Report
Case Letter
Case Report
Case Series
Commentary
Current Issue
Editorial
Erratum
Guest Editorial
Images
Images in Neurology
Images in Neuroscience
Images in Neurosciences
Letter to Editor
Letter to the Editor
Letters to Editor
Letters to the Editor
Media and News
None
Notice of Retraction
Obituary
Original Article
Point of View
Position Paper
Review Article
Short Communication
Systematic Review
Systematic Review Article
Technical Note
Techniques in Neurosurgery
Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors
Search in posts
Search in pages
Filter by Categories
Book Review
Brief Report
Case Letter
Case Report
Case Series
Commentary
Current Issue
Editorial
Erratum
Guest Editorial
Images
Images in Neurology
Images in Neuroscience
Images in Neurosciences
Letter to Editor
Letter to the Editor
Letters to Editor
Letters to the Editor
Media and News
None
Notice of Retraction
Obituary
Original Article
Point of View
Position Paper
Review Article
Short Communication
Systematic Review
Systematic Review Article
Technical Note
Techniques in Neurosurgery
Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors
Search in posts
Search in pages
Filter by Categories
Book Review
Brief Report
Case Letter
Case Report
Case Series
Commentary
Current Issue
Editorial
Erratum
Guest Editorial
Images
Images in Neurology
Images in Neuroscience
Images in Neurosciences
Letter to Editor
Letter to the Editor
Letters to Editor
Letters to the Editor
Media and News
None
Notice of Retraction
Obituary
Original Article
Point of View
Position Paper
Review Article
Short Communication
Systematic Review
Systematic Review Article
Technical Note
Techniques in Neurosurgery
View/Download PDF

Translate this page into:

Case Report
4 (
2
); 216-219
doi:
10.4103/0976-3147.112774

An unusual extra‑axial hypodense lesion mimicking a chronic subdural haematoma

Departments of Neurosurgery, Apollo Hospital, Chennai, India
Department of Neurology, Dr SMCSI Medical College Hospital, Karakonam, India
Address for correspondence: Dr. R. Ramnarayan Department of Neurosurgery, Apollo Hospital Chennai India r_ramnarayan@yahoo.com
Licence
This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Disclaimer:
This article was originally published by Thieme Medical and Scientific Publishers Private Ltd. and was migrated to Scientific Scholar after the change of Publisher.

Abstract

ABSTRACT

A 59-year-old man was found on the road with multiple injuries. CT scan showed a hypodense extra axial lesion in the left fronto‑temporal region suggestive of chronic subdural haematoma. He was treated conservatively but did not improve. He underwent craniectomy after lesion was shown to be increasing in size, only solid tissue was seen which was not biopsied. Patient made good recovery after steroids were put on. He deteriorated again 6 weeks later and radiology showed the frontal lesion without involvement of the brain and with minimal enhancement and mass effect. He underwent biopsy decompression of the lesion with steroids, post‑operatively he improved well, but deteriorated when the steroids were tapered. Histopathology report was Non‑Hodgkin’s lymphoma. No primary was found and the patient died during oncology treatment. This illustrates manifestation of primary dural lymphoma radiologically mimicking chronic subdural haematoma, another common disorder.

Keywords

Chronic subdural haematoma
extra‑axial hypodense lesion
lymphoma

Conflict of Interest

None declared

References

  1. , , . Primary central nervous system lymphoma. J Neurosurg. 1988;68:835-53.
    [Google Scholar]
  2. , , , . Morphologic and immunophenotypic characterization of primary brain lymphomas using paraffin-embedded tissue. Histopathology. 1989;15:449-60.
    [Google Scholar]
  3. , , . Primary central nervous system lymphoma. Mayo Clin Proc. 1989;64:1005-20.
    [Google Scholar]
  4. , , , , , , et al . Primary leptomeningeal lymphoma: Report of 9 cases, diagnosis with immunocytochemical analysis, and review of the literature. Neurology. 1991;41:95-100.
    [Google Scholar]
  5. , , , , . Evaluation of the age of subdural hematomas by computerized tomography. J Neurosurg. 1977;47:311-5.
    [Google Scholar]
  6. , , , , , , . 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;96:611-4.
    [Google Scholar]
  7. , , , , , . Malignant lymphoma presenting as a chronic subdural hematoma. Surg Neurol. 1990;33:35-6.
    [Google Scholar]
  8. , , , , , , et al . Primary leptomeningeal lymphoma. J Neurooncol. 2001;52:81-3.
    [Google Scholar]
  9. , , , , , . Primary low grade B-cell lymphoma of the dura in an immunocompetent patient. J Exp Clin Cancer Res. 2000;19:249-51.
    [Google Scholar]
  10. , , , , , . Primary T-cell-rich B-cell lymphoma masquerading as a meningioma. Arch Pathol Lab Med. 2000;124:1700-3.
    [Google Scholar]
  11. , , , , , . Intracranial malignant B-cell lymphoma of the dura. Clin Neuropathol. 2000;19:34-7.
    [Google Scholar]
  12. , , , , , , . Primary low-grade B-cell lymphoma of the dura: A mucosa associated lymphoid tissue-type lymphoma. Am J Surg Pathol. 1997;21:81-7.
    [Google Scholar]
  13. , , , . Primary low-grade B-cell lymphoma of mucosa-associated lymphoid tissue (MALT) arising in dura. Clin Neuropathol. 1998;17:311-7.
    [Google Scholar]
  14. , , , . Primary dural lymphomas: A clinicopathologic study of treatment and outcome in eight patients. Neurology. 2006;66:1763-5.
    [Google Scholar]
  15. , , . Primary dural lymphomas: a review. Neurosurg Focus. 2006;15(21):E5.
    [Google Scholar]
  16. , , , , . Primary lymphoblastic B-cell lymphoma of the cranial dura mater: A case report and review of the literature. Leuk Lymphoma. 2005;46:1651-7.
    [Google Scholar]
  17. , , , , . Primary cranial vault non-Hodgkin’s lymphoma. Neurol India. 2003;51:293-4.
    [Google Scholar]

Fulltext Views
537

PDF downloads
484
View/Download PDF
Download Citations
BibTeX
RIS
Show Sections