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CASE REPORT
Extra-axial primary non-Hodgkin's CNS lymphoma mimicking meningioma, in a 5-year-old immunocompetent child: a rare entity
  1. Mukesh Kumar Bhaskar1,
  2. Balkrishna Ojha2,
  3. Manish Jaiswal1,
  4. Mala Sagar3
  1. 1Department of Neurosurgery, King George's Medical University, Lucknow, Uttar Pradesh, India
  2. 2Department of Neurosurgery, CSM Medical University, Lucknow, Uttar Pradesh, India
  3. 3Department of Pathology, CSM Medical University, Lucknow, Uttar Pradesh, India
  1. Correspondence to Dr Mukesh Kumar Bhaskar, drmannu84{at}gmail.com

Summary

We describe a case of a 5-year-old immunocompetent girl who presented with features of raised intracranial pressure with left eye ptosis of 1-month duration. CT scan and MRI of the brain showed an extra-axial, intensely contrast enhancing lesion in the left temporoparieto-occipital region, consistent with meningioma. On open tissue biopsy and immunohistochemistry staining, a diagnosis of B cell non-Hodgkin's lymphoma was made. Six cycles of chemotherapy with cyclophosphamide, adriamycin, vincristine and prednisolone regimen were given and showed a good clinical outcome without any recurrence during follow-up of 5 months.

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