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Dural lymphoma misdiagnosed as subdural hematoma following head trauma after an episode of syncope

Primary dural lymphoma is a rare subtype of primary central nervous system lymphoma. Primary dural lymphoma may be radiologically misdiagnosed as it shares similar imaging characteristics with several pathologies, including meningiomas and subdural or epidural hematomas. We present a patient who was...

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Autores principales: Thibodeau, Ryan, Li, Hsin Kwung, Babu, Harish, Jafroodifar, Abtin, Ramovic, Merima, Hahn, Seung Shin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9550849/
https://www.ncbi.nlm.nih.gov/pubmed/36238205
http://dx.doi.org/10.1016/j.radcr.2022.09.044
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author Thibodeau, Ryan
Li, Hsin Kwung
Babu, Harish
Jafroodifar, Abtin
Ramovic, Merima
Hahn, Seung Shin
author_facet Thibodeau, Ryan
Li, Hsin Kwung
Babu, Harish
Jafroodifar, Abtin
Ramovic, Merima
Hahn, Seung Shin
author_sort Thibodeau, Ryan
collection PubMed
description Primary dural lymphoma is a rare subtype of primary central nervous system lymphoma. Primary dural lymphoma may be radiologically misdiagnosed as it shares similar imaging characteristics with several pathologies, including meningiomas and subdural or epidural hematomas. We present a patient who was originally diagnosed with a subdural hematoma following a syncopal episode on computed tomography. Follow-up magnetic resonance imaging of the brain demonstrated heterogeneously enhancing dural-based mass overlying the left frontoparietal convexity associated with bidirectional dural tails, suggestive of a malignant meningioma. Neurosurgical histopathology revealed marginal zone B-cell lymphoma. This case represents the potential difficulty in diagnosing primary dural lymphoma, especially in the setting of uncertain clinical history and obscured imaging features.
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spelling pubmed-95508492022-10-12 Dural lymphoma misdiagnosed as subdural hematoma following head trauma after an episode of syncope Thibodeau, Ryan Li, Hsin Kwung Babu, Harish Jafroodifar, Abtin Ramovic, Merima Hahn, Seung Shin Radiol Case Rep Case Report Primary dural lymphoma is a rare subtype of primary central nervous system lymphoma. Primary dural lymphoma may be radiologically misdiagnosed as it shares similar imaging characteristics with several pathologies, including meningiomas and subdural or epidural hematomas. We present a patient who was originally diagnosed with a subdural hematoma following a syncopal episode on computed tomography. Follow-up magnetic resonance imaging of the brain demonstrated heterogeneously enhancing dural-based mass overlying the left frontoparietal convexity associated with bidirectional dural tails, suggestive of a malignant meningioma. Neurosurgical histopathology revealed marginal zone B-cell lymphoma. This case represents the potential difficulty in diagnosing primary dural lymphoma, especially in the setting of uncertain clinical history and obscured imaging features. Elsevier 2022-10-06 /pmc/articles/PMC9550849/ /pubmed/36238205 http://dx.doi.org/10.1016/j.radcr.2022.09.044 Text en © 2022 The Authors. Published by Elsevier Inc. on behalf of University of Washington. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Thibodeau, Ryan
Li, Hsin Kwung
Babu, Harish
Jafroodifar, Abtin
Ramovic, Merima
Hahn, Seung Shin
Dural lymphoma misdiagnosed as subdural hematoma following head trauma after an episode of syncope
title Dural lymphoma misdiagnosed as subdural hematoma following head trauma after an episode of syncope
title_full Dural lymphoma misdiagnosed as subdural hematoma following head trauma after an episode of syncope
title_fullStr Dural lymphoma misdiagnosed as subdural hematoma following head trauma after an episode of syncope
title_full_unstemmed Dural lymphoma misdiagnosed as subdural hematoma following head trauma after an episode of syncope
title_short Dural lymphoma misdiagnosed as subdural hematoma following head trauma after an episode of syncope
title_sort dural lymphoma misdiagnosed as subdural hematoma following head trauma after an episode of syncope
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9550849/
https://www.ncbi.nlm.nih.gov/pubmed/36238205
http://dx.doi.org/10.1016/j.radcr.2022.09.044
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