Article Text

Download PDFPDF
CASE REPORT
Primary dural diffuse large B cell lymphoma mimicking parafalcine meningioma
  1. Surya Nandan Prasad1,
  2. Hira Lal1,
  3. Sushila Jaiswal2,
  4. Kuntal Kanti Das3
  1. 1Department of Radiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
  2. 2Department of Pathology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
  3. 3Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
  1. Correspondence to Dr Hira Lal, hiralal2007{at}yahoo.co.in

Summary

A 58-year-old immunocompetent woman presented with complaints of recent onset recurrent generalised tonic-clonic seizures and left hemiparesis. On MRI a dural-based heterogeneously enhancing mass was seen along the falx cerebri mimicking parafalcine meningioma, causing brain parenchymal compression and vasogenic oedema in the right frontal and parietal lobes. The tumour was completely excised and on subsequent investigation it was diagnosed as diffuse large B cell type primary dural lymphoma. Chemotherapy with CHOP (cyclophosphamide, hydroxyl doxorubicin, vincristine and prednisone) regimen was started; however, the patient later died from episodes of acute pulmonary thromboembolism, aspiration pneumonia and septic shock.

  • neuroimaging
  • radiology

Statistics from Altmetric.com

Footnotes

  • Contributors KKD and HL conceived the manuscript. SNP prepared the manuscript. SJ collected the images and also helped in manuscript preparation. HL and KKD edited the manuscript. The final manuscript was read and approved by all the authors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.