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De novo primary malignant lymphoma of the dura following recurrent episodes of subdural abscess presenting as chronic subdural hematoma: illustrative case.
Yagisawa, Tomoya; Ibayashi, Kenji; Kuroda, Rintaro; Koyama, Shunsuke; Kanda, Yoshinobu; Fukuda, Yukiko; Shirai, Katsuyuki; Kawata, Hirotoshi; Kunii, Naoto; Kawai, Kensuke.
Afiliación
  • Yagisawa T; Departments of Neurosurgery, Jichi Medical University, Shimotsuke, Tochigi, Japan.
  • Ibayashi K; Departments of Neurosurgery, Jichi Medical University, Shimotsuke, Tochigi, Japan.
  • Kuroda R; Departments of Neurosurgery, Jichi Medical University, Shimotsuke, Tochigi, Japan.
  • Koyama S; Department of Medicine, Division of Hematology, Jichi Medical University Hospital, Shimotsuke, Tochigi, Japan.
  • Kanda Y; Department of Medicine, Division of Hematology, Jichi Medical University Hospital, Shimotsuke, Tochigi, Japan.
  • Fukuda Y; Department of Medicine, Division of Hematology, Jichi Medical University Saitama Medical Center, Omiya, Saitama, Japan.
  • Shirai K; Departments of Radiology, Jichi Medical University, Shimotsuke, Tochigi, Japan.
  • Kawata H; Departments of Radiology, Jichi Medical University, Shimotsuke, Tochigi, Japan.
  • Kunii N; Department of Diagnostic Pathology, Jichi Medical University Hospital, Shimotsuke, Tochigi, Japan.
  • Kawai K; Departments of Neurosurgery, Jichi Medical University, Shimotsuke, Tochigi, Japan.
J Neurosurg Case Lessons ; 8(4)2024 Jul 22.
Article en En | MEDLINE | ID: mdl-39038372
ABSTRACT

BACKGROUND:

Chronic inflammation of the thorax, as in tuberculosis-related pyothorax, can cause secondary malignant lymphomas. However, primary malignant lymphoma of the central nervous system, specifically of the dura mater, developing after intracranial infection or inflammation has rarely been reported. Herein, the authors describe a case of primary dural lymphoma that developed secondary to subdural empyema, with an initial presentation mimicking a chronic subdural hematoma. OBSERVATIONS A 51-year-old man had undergone single burr hole drainage for subdural empyema 2 years prior. The patient subsequently underwent multiple craniotomy and drainage procedures, with successful remission of the subdural empyema. He was subsequently referred to the authors' hospital approximately a year after his initial treatment because of a recollection of subdural fluid, which was suspected to be recurrent empyema. After another single burr hole drainage, which revealed only a subdural hematoma, a histopathological diagnosis of B-cell lymphoma of the dural/subdural membrane was made. Subsequent radiation therapy was completed, with good local control and no recurrence of the subdural hematoma confirmed at 2 months posttreatment. LESSONS Intracranial lymphoma triggered by chronic inflammation is rare but should be considered a differential diagnosis in subdural hematomas for which the background pathology is unclear. https//thejns.org/doi/10.3171/CASE24153.
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Texto completo: 1 Bases de datos: MEDLINE Idioma: En Revista: J Neurosurg Case Lessons Año: 2024 Tipo del documento: Article País de afiliación: Japón

Texto completo: 1 Bases de datos: MEDLINE Idioma: En Revista: J Neurosurg Case Lessons Año: 2024 Tipo del documento: Article País de afiliación: Japón